Spine and Joint, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3524 Issued in SC

Legal business name

SPINE AND JOINT, LLC

Practice address

105 S Maple St
Simpsonville, SC 29681-2629

Phone

(864) 547-2250

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Ryan V Williams, D.C., UCA

Title

Owner

Phone

(864) 547-2250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spine and Joint, LLC

  • Chiropractor
  • Clinton, SC
  • NPI 1851613996

  O20100816001051

  Same enrollment

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1962799692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293250209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MAPLE ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812629",
            "telephone_number": "864-547-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 W Georgia Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806216",
            "country_code": "US",
            "telephone_number": "864-757-9971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Musgrove St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "29325",
            "country_code": "US",
            "telephone_number": "864-547-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-547-2250",
        "authorized_official_credential": "D.C., UCA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spartanburg Medical Center
• Jan Speaks
• Kristi Speaks, MS, ATC
• Spencer Murray Spellman
• Wilmure Daymon Spigner
• Kevin Anthony Springle, M.D.
• St Francis Hospital Inc
• St Francis Hospital Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc

• Chiropractor in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.