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

Last updated

Sep 16, 2019By the provider in NPPES

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., UCANPI 1861714909

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan V Williams, D.C.

  • Chiropractor
  • Clinton, SC
  • NPI 1861714909
  Authorized official Same address or phone

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": []
}

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• 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.