NPIMap

Organization Active NPI

Carolina Spine LLC

  • Chiropractor
  • Indian Land, SC
National Provider Identifier
1871854380
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3709 Issued in SC
Legal business name
CAROLINA SPINE LLC
Practice address
8451 Charlotte Hwy
Indian Land, SC 29707-7587
Phone
(803) 548-8100
Fax
(803) 548-8111
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Ryan Valencic, DC
Title
Owner
Phone
(803) 548-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3709 SC Primary

Addresses

Primary practice location

8451 Charlotte Hwy
Indian Land, SC 29707-7587

Mailing address

8451 Charlotte Hwy
Indian Land, SC 29707-7587
Phone (803) 548-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1871854380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077587",
            "telephone_number": "803-548-8100",
            "fax_number": "803-548-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077587",
            "telephone_number": "803-548-8100",
            "fax_number": "803-548-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "VALENCIC",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-548-8100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

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