Individual provider Active NPI

Vance Christian Kirar, D.C.

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1780637371
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2903 Issued in SC
Practice address
5 South Alliance Dr.
Ste E
Goose Creek, SC 29445-7174
Phone
(843) 572-2224
Fax
(843) 572-2274
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2903 SC Primary

Addresses

Primary practice location

5 South Alliance Dr.
Ste E
Goose Creek, SC 29445-7174

Mailing address

5 South Alliance Dr.
Ste E
Goose Creek, SC 29445-7174
Phone (843) 572-2224

Other identifiers 2

IdentifierTypeStateIssuer
830397634OtherSCTAX ID
2903OtherSCLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000820 SC Practitioner - Chiropractic 4284603119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirar Chiropractic Wellness IncGroup PAC ID 4183897895, 5 clinicians

Practice addresses (Care Compare)

551 College Park Rd
Ladson, SC 29456-3329
Phone (843) 572-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2903SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kirar Chiropractic Wellness Inc Chiropractor CurrentSince Aug 5, 2011 Accepting new patients
Superior Healthcare LLC Past Accepting new patients

Locations

5 S Alliance Dr
Ste E
Goose Creek, SC 29445
Phone (843) 572-2224

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1780637371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SOUTH ALLIANCE DR.",
            "address_2": "STE E",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457174",
            "telephone_number": "843-572-2224",
            "fax_number": "843-572-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SOUTH ALLIANCE DR.",
            "address_2": "STE E",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457174",
            "telephone_number": "843-572-2224",
            "fax_number": "843-572-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAR",
        "first_name": "VANCE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "830397634",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2903",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.