Organization Active NPI

Henry Chiropractic Clinic LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1639281850
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3098 Issued in SC
Legal business name
HENRY CHIROPRACTIC CLINIC LLC
Practice address
1314 Pelham Rd
Greenville, SC 29615-3646
Phone
(864) 288-7797
NPI assigned
Sep 1, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Lucian Henry, DCNPI 1578584777
Title
Owner
Phone
(864) 288-7797

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
Chiropractor 111N00000X 3098 SC Primary

Addresses

Primary practice location

1314 Pelham Rd
Greenville, SC 29615-3646

Mailing address

1314 Pelham Rd
Greenville, SC 29615-3646
Phone (864) 288-7797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000449 SC Part B Supplier - Clinic/Group Practice 3577568013 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

1314 Pelham Rd
Greenville, SC 29615
Phone (864) 288-7797

3101 S Highway 14
Greenville, SC 29615
Phone (864) 288-7797

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1639281850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153646",
            "telephone_number": "864-288-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153646",
            "telephone_number": "864-288-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LUCIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-288-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.