Individual provider Active NPI

Joe Carrano, DC

  • Nutrition Chiropractor
  • Greenville, SC
National Provider Identifier
1902980212
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2535 Issued in SC
Practice address
2520 Wade Hampton Blvd Ste B
Greenville, SC 29615-1148
Phone
(864) 552-1142
Fax
(864) 552-1143
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SC002535 SC
Nutrition Chiropractor 111NN1001X 2535 SC Primary

Addresses

Primary practice location

2520 Wade Hampton Blvd Ste B
Greenville, SC 29615-1148

Mailing address

103 Waters Edge Dr
Greenville, SC 29609-6015
Phone (864) 509-8640

Other identifiers 1

IdentifierTypeStateIssuer
CH2535MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000215 SC Practitioner - Chiropractic 6002997178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2520 Wade Hampton Blvd
Suite B
Greenville, SC 29615-1148
Phone (864) 552-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002535SCMDChiropractor
2535SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Land Associates LLC Nutrition CurrentSince Aug 1, 2017 Accepting new patients
Mickey Travis Sizemore Chiropractor Past Accepting new patients

Locations

206B Couch Ln
Easley, SC 29642
Phone (864) 859-0026

2520 Wade Hampton Blvd
Ste B
Greenville, SC 29615
Phone (864) 552-1142

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1902980212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WATERS EDGE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296096015",
            "telephone_number": "864-509-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WADE HAMPTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151148",
            "telephone_number": "864-552-1142",
            "fax_number": "864-552-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANO",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC002535",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "SC",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.