NPIMap

Organization Active NPI

Main Street Chiropractic Greenville,LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1649723537
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
847 Issued in SC
Legal business name
MAIN STREET CHIROPRACTIC GREENVILLE,LLC
Doing business as
main street chiropractic
Practice address
714 N Main St
Greenville, SC 29609-5514
Phone
(864) 271-4240
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Morris J. Kolarik Jr., DCNPI 1487637815
Title
Owner
Phone
(864) 201-4874

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 847 SC Primary

Addresses

Primary practice location

714 N Main St
Greenville, SC 29609-5514

Mailing address

300 Kelly St
Panama City Beach, FL 32413-1271
Phone (864) 201-4874

Other names 1

  • main street chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

714 N Main St
Greenville, SC 29609
Phone (864) 271-4240

Practitioners & affiliated clinicians

Practitioners 1

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": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1649723537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KELLY ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324131271",
            "telephone_number": "864-201-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095514",
            "telephone_number": "864-271-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC GREENVILLE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "KOLARIK",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-201-4874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "main street chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2016; 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.