Active NPI
William Kurt Staley, D.C.
- Chiropractor
- Summerville, SC
National Provider Identifier
1639113236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2456
- Practice address
- 810 Travelers Blvd
Suite H-1
Summerville, SC 29485-8258 - Phone
- (843) 821-9929
- Fax
- (843) 821-9270
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2456 | SC | Primary |
Addresses
Primary practice location
810 Travelers Blvd
Suite H-1
Summerville, SC 29485-8258
Mailing address
810 Travelers Blvd
Suite H-1
Summerville, SC 29485-8260
Phone (843) 821-9929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2456 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639113236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 TRAVELERS BLVD",
"address_2": "SUITE H-1",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858260",
"telephone_number": "843-821-9929",
"fax_number": "843-821-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 TRAVELERS BLVD",
"address_2": "SUITE H-1",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858258",
"telephone_number": "843-821-9929",
"fax_number": "843-821-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "WILLIAM",
"middle_name": "KURT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.