Individual provider Active NPI

Robert S Iannace, D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1689643793
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
968 Issued in SC
Practice address
1401 Bacons Bridge Rd
Summerville, SC 29485
Phone
(843) 851-0747
Fax
(843) 841-0746
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 968 SC Primary

Addresses

Primary practice location

1401 Bacons Bridge Rd
Summerville, SC 29485

Mailing address

1401 Bacons Bridge Rd
Summerville, SC 29485-3335
Phone (843) 851-0747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000283 SC Practitioner - Chiropractic 6204970528 Practice locations: Summerville, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1357 Bacons Bridge Rd
Summerville, SC 29485-3335
Phone (843) 851-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
968SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barlett Chiropractic LLC Chiropractor CurrentSince Feb 23, 2025 Accepting new patients
University Spine Care LLC Chiropractor Past Accepting new patients

Locations

1401 Bacons Bridge Rd
Summerville, SC 29485
Phone (843) 851-0747

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1689643793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BACONS BRIDGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294853335",
            "telephone_number": "843-851-0747",
            "fax_number": "843-851-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BACONS BRIDGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-851-0747",
            "fax_number": "843-841-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNACE",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.