Individual provider Active NPI

James Pryor, DC, MS

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1780264929
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4662 Issued in SC
Practice address
5750 Rivers Ave # a
North Charleston, SC 29406-6029
Phone
(843) 723-6475
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4662 SC Primary

Addresses

Primary practice location

5750 Rivers Ave # a
North Charleston, SC 29406-6029

Mailing address

721 Long Point Rd
Ste 403
Mount Pleasant, SC 29464-8298

Other identifiers 1

IdentifierTypeStateIssuer
46-5759177MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Charleston
CONNECT URL Charleston

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4662SCMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1780264929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD",
            "address_2": "STE 403",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 RIVERS AVE # A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066029",
            "telephone_number": "843-723-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-5759177",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charleston",
            "affiliation": "N",
            "address_1": "5750 Rivers Ave # A",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294066029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charleston",
            "affiliation": "N",
            "address_1": "5750 Rivers Ave # A",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294066029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.