Organization Active NPI

Emerald City Chiropractic LLC

  • Chiropractor
  • Greenwood, SC
National Provider Identifier
1710905765
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3107 Issued in SC
Legal business name
EMERALD CITY CHIROPRACTIC LLC
Practice address
423B Calhoun Ave
Greenwood, SC 29649-2015
Phone
(864) 223-2224
Fax
(864) 223-2225
NPI assigned
Jul 18, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Nathaniel Christian Oncken, D.C.NPI 1447211214
Title
Chiropractor / Owner
Phone
(864) 223-2224

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 3107 SC Primary

Addresses

Primary practice location

423B Calhoun Ave
Greenwood, SC 29649-2015

Mailing address

423B Calhoun Ave
Greenwood, SC 29649-2015
Phone (864) 223-2224

Other identifiers 1

IdentifierTypeStateIssuer
CH3107MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000182 SC Part B Supplier - Clinic/Group Practice 5597946509 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

423 Calhoun Ave
#B
Greenwood, SC 29649
Phone (864) 223-2224

423B Calhoun Ave
Greenwood, SC 29649
Phone (864) 223-2224

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1710905765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423B CALHOUN AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492015",
            "telephone_number": "864-223-2224",
            "fax_number": "864-223-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423B CALHOUN AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492015",
            "telephone_number": "864-223-2224",
            "fax_number": "864-223-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "ONCKEN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "864-223-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3107",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.