Individual provider Active NPI

David Jolson, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1912425034
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4266 Issued in SC
Practice address
1000 Laurens Rd Ste a
Greenville, SC 29607-1919
Phone
(864) 400-8005
NPI assigned
Sep 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4266 SC Primary

Addresses

Primary practice location

1000 Laurens Rd Ste a
Greenville, SC 29607-1919

Mailing address

1000 Laurens Rd Ste a
Greenville, SC 29607-1919
Phone (864) 400-8005

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
4266SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Spine & Sport PC Chiropractor CurrentSince Aug 4, 2024 Accepting new patients

Locations

110 Laurens Rd
Greenville, SC 29607
Phone (864) 400-8005

1000 Laurens Rd
Ste A
Greenville, SC 29607
Phone (864) 400-8005

Organizations & group practices 1

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1912425034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAURENS RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071919",
            "telephone_number": "864-400-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAURENS RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071919",
            "telephone_number": "864-400-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4266",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 18, 2023; 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.