Organization Active NPI

Meisten Chiropractic Clinic LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1972813095
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2918 Issued in SC
Legal business name
MEISTEN CHIROPRACTIC CLINIC LLC
Practice address
712 Congaree Rd
Greenville, SC 29607-3520
Phone
(864) 331-2522
Fax
(864) 288-4326
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Kenneth William Meisten, D.C.NPI 1497858005
Title
Owner
Phone
(864) 331-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2918 SC Primary

Addresses

Primary practice location

712 Congaree Rd
Greenville, SC 29607-3520

Mailing address

712 Congaree Rd
Greenville, SC 29607-3520
Phone (864) 331-2522

Other names 1

  • Carolina Health Innovations Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000570 SC Part B Supplier - Clinic/Group Practice 7214110295 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1972813095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073520",
            "telephone_number": "864-331-2522",
            "fax_number": "864-288-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073520",
            "telephone_number": "864-331-2522",
            "fax_number": "864-288-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEISTEN CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MEISTEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-331-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Health Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2010; 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.