Organization Active NPI

Hannouche Family Chiropractic PC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1780747808
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
755 Issued in SC
Legal business name
HANNOUCHE FAMILY CHIROPRACTIC PC
Practice address
1205 Boiling Springs Road
Spartanburg, SC 29303-2243
Phone
(864) 583-5649
Fax
(864) 585-5509
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Authorized official

Name
Dr. Nicholas James Hannouche, DCNPI 1396088522
Title
Owner
Phone
(864) 583-5649

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 755 SC Primary

Addresses

Primary practice location

1205 Boiling Springs Road
Spartanburg, SC 29303-2243

Mailing address

1205 Boiling Springs Road
Spartanburg, SC 29303-2243
Phone (864) 583-5649

Other identifiers 1

IdentifierTypeStateIssuer
CH0755MedicaidSC

Other names 1

  • We Care Chiropractic PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000142 SC Part B Supplier - Clinic/Group Practice 8527146216 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

1203 Boiling Springs Rd
#A
Spartanburg, SC 29303
Phone (864) 583-5649

1205 Boiling Springs Rd
Spartanburg, SC 29303
Phone (864) 583-5649

1203A Boiling Springs Rd
Spartanburg, SC 29303
Phone (864) 583-5649

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1780747808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BOILING SPRINGS ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032243",
            "telephone_number": "864-583-5649",
            "fax_number": "864-585-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BOILING SPRINGS ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032243",
            "telephone_number": "864-583-5649",
            "fax_number": "864-585-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNOUCHE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "HANNOUCHE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-583-5649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Care Chiropractic PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; 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.