Organization Active NPI

Kirar Chiropractic Wellness Inc

  • Chiropractor
  • Ladson, SC
National Provider Identifier
1871820662
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2903 Issued in SC
Legal business name
KIRAR CHIROPRACTIC WELLNESS INC
Practice address
551 College Park Road
Ladson, SC 29456
Phone
(843) 572-2224
Fax
(843) 572-2274
NPI assigned
Nov 16, 2009
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Dr. Vance C Kirar, DCNPI 1780637371
Title
Owner
Phone
(843) 572-2224

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2903 SC Primary
Chiropractor 111N00000X 2906 SC

Addresses

Primary practice location

551 College Park Road
Ladson, SC 29456

Mailing address

5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174
Phone (843) 572-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000370 SC Part B Supplier - Clinic/Group Practice 4183897895 Receives reassigned benefits from 5 practitioners
Practice locations: Ladson, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1871820662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S ALLIANCE DR",
            "address_2": "SUITE 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": "551 COLLEGE PARK ROAD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "843-572-2224",
            "fax_number": "843-572-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAR CHIROPRACTIC WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KIRAR",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-572-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2903",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.