Organization Active NPI

Converse Chiropractic

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1629429220
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4135 Issued in SC
Legal business name
CONVERSE CHIROPRACTIC
Practice address
515 E Saint John St
Spartanburg, SC 29302-1625
Phone
(864) 699-9990
NPI assigned
Jun 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Authorized official

Name
Christy Rody, D.C.NPI 1275987174
Title
Dr.
Phone
(405) 401-9647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4135 SC Primary

Addresses

Primary practice location

515 E Saint John St
Spartanburg, SC 29302-1625

Mailing address

515 E Saint John St
Spartanburg, SC 29302-1625
Phone (864) 699-9990

Other practice location 1

2908 Devine St
Columbia, SC 29205-1842
Phone (803) 497-3860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803002186 SC Part B Supplier - Clinic/Group Practice 9335433077 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575158400000",
    "number": "1629429220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E SAINT JOHN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021625",
            "telephone_number": "864-699-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E SAINT JOHN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021625",
            "telephone_number": "864-699-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Devine St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292051842",
            "country_code": "US",
            "telephone_number": "803-497-3860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONVERSE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2019-12-01",
        "status": "A",
        "authorized_official_last_name": "RODY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "405-401-9647",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.