Individual provider Active NPI

Clarence Taylor III, DC

  • Chiropractor
  • Anderson, SC
National Provider Identifier
1659915478
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4458 Issued in SC
Practice address
3501 Clemson Blvd Ste 11
Anderson, SC 29621-1328
Phone
(864) 716-2117
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4458 SC Primary

Addresses

Primary practice location

3501 Clemson Blvd Ste 11
Anderson, SC 29621-1328

Mailing address

3501 Clemson Blvd Ste 11
Anderson, SC 29621-1328
Phone (864) 881-4221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817002722 SC Practitioner - Chiropractic 7113300591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doyle Chiropractic Inc Chiropractor CurrentSince Jun 20, 2025 Accepting new patients
Enhanced Living Chiropractic Chiropractor PastSince Jul 17, 2009 Accepting new patients

Locations

201 Ladean Ct
Simpsonville, SC 29680
Phone (864) 641-3183

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1659915478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CLEMSON BLVD STE 11",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211328",
            "telephone_number": "864-881-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CLEMSON BLVD STE 11",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211328",
            "telephone_number": "864-716-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CLARENCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.