Individual provider Active NPI

Varvara Kononov

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1831961457
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4944 Issued in SC
Practice address
22 Westedge St Ste 103
Charleston, SC 29403-6983
Phone
(843) 628-3319
Fax
(843) 628-3319
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4944 SC Primary

Addresses

Primary practice location

22 Westedge St Ste 103
Charleston, SC 29403-6983

Mailing address

539 Brick Barn LN
Goose Creek, SC 29445-7342
Phone (843) 801-5375

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
4944SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1831961457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BRICK BARN LN",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457342",
            "telephone_number": "843-801-5375",
            "fax_number": "843-628-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTEDGE ST STE 103",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036983",
            "telephone_number": "843-628-3319",
            "fax_number": "843-628-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONONOV",
        "first_name": "VARVARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.