Individual provider Active NPI

Michael Curtis Shride, D.C.

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1700868403
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1670 Issued in SC
Practice address
1318 Haywood Rd
Greenville, SC 29615-2296
Phone
(864) 268-3400
Fax
(864) 268-4526
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1670 SC Primary

Addresses

Primary practice location

1318 Haywood Rd
Greenville, SC 29615-2296

Mailing address

1318 Haywood Rd
Greenville, SC 29615-4992
Phone (864) 268-3400

Other identifiers 1

IdentifierTypeStateIssuer
CH1670MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000448 SC Practitioner - Chiropractic 3779630413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1318 Haywood Rd
Suite C
Greenville, SC 29615-4992
Phone (864) 268-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1670SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Move4Life, LLC Chiropractor Current Accepting new patients
Body Dynamix, LLC Chiropractor CurrentSince May 23, 2024 Accepting new patients

Locations

1318 Haywood Rd
Ste C
Greenville, SC 29615
Phone (864) 242-1971

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700868403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154992",
            "telephone_number": "864-268-3400",
            "fax_number": "864-268-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152296",
            "telephone_number": "864-268-3400",
            "fax_number": "864-268-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIDE",
        "first_name": "MICHAEL",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1670",
            "state": "SC"
        }
    ],
    "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 Jul 13, 2026; 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.