Active NPI
Byron Demond Kilgore, DC
- Chiropractor
- Greenville, SC
National Provider Identifier
1639634348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4397
- 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
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 | 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.