Active NPI
Ryan A O'Bleness, D.C.
- Chiropractor
- Simpsonville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH2503
- Practice address
- 655 Fairview Rd
Suite J
Simpsonville, SC 29680-7500 - Phone
- (864) 962-8800
- Fax
- (864) 228-9129
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH2503 | SC | Primary |
Addresses
Primary practice location
655 Fairview Rd
Suite J
Simpsonville, SC 29680-7500
Mailing address
655 Fairview Rd
Ste J
Simpsonville, SC 29680-6777
Phone (864) 962-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-0873179 | Other | SC | FED TAX ID |
| CH2503 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
680 Fairview Rd
Suite D
Simpsonville, SC 29680-6789
Phone (864) 962-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH2503 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpsonville Family Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
655 Fairview Rd
Ste J
Simpsonville, SC 29680
Phone (864) 962-8800
680 Fairview Rd
Ste D
Simpsonville, SC 29680
Phone (864) 962-8800
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.
-
dba Simpsonville Family Chiropractic
- Chiropractor
- Simpsonville, SC
- NPI 1669567327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1962527291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "STE J",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806777",
"telephone_number": "864-962-8800",
"fax_number": "864-228-9129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "SUITE J",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807500",
"telephone_number": "864-962-8800",
"fax_number": "864-228-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BLENESS",
"first_name": "RYAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "CH2503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID",
"identifier": "20-0873179",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2503",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.