Simpsonville Family Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 2296 Issued in SC

Legal business name

SIMPSONVILLE FAMILY CHIROPRACTIC, INC.

Doing business as

Simpsonville Family Chiropractic

Practice address

655 Fairview Rd
Suite J
Simpsonville, SC 29680-7500

Phone

(864) 962-8800

Fax

(864) 228-9129

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan A O'Bleness, D.C.NPI 1962527291

Title

President

Phone

(864) 962-8800

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Simpsonville Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Ryan A O'Bleness, D.C.

  • Chiropractor
  • Simpsonville, SC
  • NPI 1962527291
  Medicare reassignment NPD Authorized official
• Robert G Bousquet, D.C.

  • Chiropractor
  • Simpsonville, SC
  • NPI 1043335102
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669567327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 FAIRVIEW RD",
            "address_2": "SUITE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807500",
            "telephone_number": "864-962-8800",
            "fax_number": "864-228-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FAIRVIEW RD",
            "address_2": "SUITE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807500",
            "telephone_number": "864-962-8800",
            "fax_number": "864-228-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSONVILLE FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BLENESS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-962-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "CH 2503",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "CH 2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH442",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. O'BLENESS NPI",
            "identifier": "1962527291",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BOUSQUET NPI",
            "identifier": "1043335102",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simpsonville Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Simmons
• Robin W Simpkins, ACNP
• Simpsonville Community Healthcare, LLC (Simpsonville Post Acute)
• Simpsonville Dental Associates PA
• Simpsonville Eye Care LLC
• Simpsonville Family Medicine, P.a.
• Simpsonville Family Medicine, PA
• Simpsonville Rehabilitation and Healthcare Center, LLC
• Simpsonville Sleep Solutions LLC
• Simpsonville Speech Therapy, LLC

• Chiropractor in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.