Organization Active NPI

Midlands Chiropractic

  • Chiropractor
  • Newberry, SC
National Provider Identifier
1760826838
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3795 Issued in SC
Legal business name
MIDLANDS CHIROPRACTIC
Practice address
3218 College St
Newberry, SC 29108-1638
Phone
(803) 276-0019
Fax
(803) 276-0019
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Allison A Kzyer, DC
Title
Owner
Phone
(803) 276-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3795 SC Primary

Addresses

Primary practice location

3218 College St
Newberry, SC 29108-1638

Mailing address

3218 College St
Newberry, SC 29108-1638
Phone (803) 276-0019

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAL LICENSESOtherSC3795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000777 SC Part B Supplier - Clinic/Group Practice 7517106750 Receives reassigned benefits from 2 practitioners
Practice locations: Newberry, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2079075Midlands Chiropractic LLC3218 College Street, Newberry, SC 29108Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory

Locations

3218 College St
Newberry, SC 29108
Phone (803) 276-0019

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1760826838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 COLLEGE ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081638",
            "telephone_number": "803-276-0019",
            "fax_number": "803-276-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 COLLEGE ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081638",
            "telephone_number": "803-276-0019",
            "fax_number": "803-276-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "KZYER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-276-0019",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3795",
            "identifier": "MEDICAL LICENSES",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.