Individual provider Active NPI

Byron Demond Kilgore, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1639634348
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4397 Issued in SC
Practice address
1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732
Phone
(864) 627-3113
NPI assigned
Feb 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4397 SC Primary

Addresses

Primary practice location

1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732

Mailing address

101 Leake Dr
Simpsonville, SC 29681-7142
Phone (864) 201-9511

Other practice location 1

730 S Pleasantburg Dr Ste I
Greenville, SC 29607-2444
Phone (864) 201-9511

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1639634348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEAKE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817142",
            "telephone_number": "864-201-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WOODRUFF RD STE A3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075732",
            "telephone_number": "864-627-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 S Pleasantburg Dr Ste I",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296072444",
            "country_code": "US",
            "telephone_number": "864-201-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "BYRON",
        "middle_name": "DEMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4397",
            "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 Apr 26, 2019; 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.