Individual provider Active NPI

Amilliah Wirula Kenya, DC

  • Chiropractor
  • Boiling Springs, SC
National Provider Identifier
1811335169
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3277 Issued in SC
Practice address
8301 Asheville Highway
Boiling Springs, SC 29316-1501
Phone
(864) 804-6230
Fax
(864) 804-6231
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3277 SC Primary

Addresses

Primary practice location

8301 Asheville Highway
Boiling Springs, SC 29316-1501

Mailing address

8301 Asheville Highway
Boiling Springs, SC 29316-1501
Phone (864) 804-6230

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3277SCMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1811335169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ASHEVILLE HIGHWAY",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293161501",
            "telephone_number": "864-804-6230",
            "fax_number": "864-804-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ASHEVILLE HIGHWAY",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293161501",
            "telephone_number": "864-804-6230",
            "fax_number": "864-804-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYA",
        "first_name": "AMILLIAH",
        "middle_name": "WIRULA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.