Organization Active NPI

Swannanoa Valley Chiropractic Clinic, PA

Doing business as Greenspan Wellness Center

  • Chiropractor
  • Black Mountain, NC
National Provider Identifier
1629097084
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1950 Issued in NC
Legal business name
SWANNANOA VALLEY CHIROPRACTIC CLINIC, PA
Doing business as
Greenspan Wellness Center
Practice address
3174 US Hwy. 70
Black Mountain, NC 28711
Phone
(828) 669-5314
Fax
(828) 669-2210
NPI assigned
Jul 18, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin R. Greenspan, D.C.
Title
Owner
Phone
(828) 669-5314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1950 NC Primary

Addresses

Primary practice location

3174 US Hwy. 70
Black Mountain, NC 28711

Mailing address

3174 US Hwy. 70
Black Mountain, NC 28711
Phone (828) 669-5314

Other identifiers 2

IdentifierTypeStateIssuer
7908823MedicaidNC
2447739OtherNCMEDICARE PTAN

Other names 1

  • Greenspan Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

3174 US Highway 70
Black Mtn, NC 28711
Phone (828) 669-5314

3174 US Highway 70 W
Black Mtn, NC 28711
Phone (828) 669-5314

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1629097084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 US HWY. 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "828-669-5314",
            "fax_number": "828-669-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 US HWY. 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "828-669-5314",
            "fax_number": "828-669-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANNANOA VALLEY CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-669-5314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908823",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2447739",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenspan Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.