Individual provider Active NPI

Ryan Calhoun, DC

  • Chiropractor
  • Clemson, SC
National Provider Identifier
1801857008
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10082748 Issued in SC
Practice address
1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632
Phone
(864) 635-3928
Fax
(864) 653-4949
NPI assigned
Mar 29, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10082748 SC Primary
Chiropractor 111N00000X 2766 SC

Addresses

Primary practice location

1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632

Mailing address

1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632
Phone (864) 635-3928

Other identifiers 1

IdentifierTypeStateIssuer
CH2766MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000838 SC Practitioner - Chiropractic 5799928933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun Health and Spine LLCGroup PAC ID 2769827880, 2 clinicians

Practice addresses (Care Compare)

400 Pendleton Rd
Clemson, SC 29631-2211
Phone (964) 653-3928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10082748SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Health & Spine LLC Chiropractor CurrentSince Nov 17, 2023 Accepting new patients
Calhoun Family Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2012 Accepting new patients
Calhoun Family Chiropractic Chiropractor Past Accepting new patients

Locations

1353 Tiger Blvd
Ste 4
Clemson, SC 29631
Phone (864) 653-3829

400 Pendleton Rd
Clemson, SC 29631
Phone (864) 653-9955

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1801857008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 TIGER BLVD",
            "address_2": "SUITE 4",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312632",
            "telephone_number": "864-635-3928",
            "fax_number": "864-653-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 TIGER BLVD",
            "address_2": "SUITE 4",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312632",
            "telephone_number": "864-635-3928",
            "fax_number": "864-653-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "10082748",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.