Individual provider Active NPI

Sydnee Tolpa, DC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1720636079
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4466 Issued in SC
Practice address
3417 Shelby Ray CT Ste C
Charleston, SC 29414-5895
Phone
(843) 737-6960
NPI assigned
Aug 29, 2019
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4466 SC Primary

Addresses

Primary practice location

3417 Shelby Ray CT Ste C
Charleston, SC 29414-5895

Mailing address

1803 Crowne Commons Way
Suite A1
Johns Island, SC 29455-6110
Phone (843) 737-6960

Other practice location 1

1803 Crowne Commons Way
Suite A1
Johns Island, SC 29455-6110
Phone (843) 737-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4466SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1720636079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CROWNE COMMONS WAY",
            "address_2": "SUITE A1",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294556110",
            "telephone_number": "843-737-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 SHELBY RAY CT STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145895",
            "telephone_number": "843-737-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Crowne Commons Way",
            "address_2": "Suite A1",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294556110",
            "country_code": "US",
            "telephone_number": "843-737-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLPA",
        "first_name": "SYDNEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.