DR. GARY R TYAS (NPI# 1376687798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376687798 |
| Entity Type | Individual |
| Full Name | DR. GARY R TYAS |
| Credential | D.C. |
| Practice Address |
3029 White Horse Rd Suite A Greenville SC 29611 |
| Practice Telephone | 8642696131 |
| Practice Fax Number | 8642696150 |
| Mailing Telephone | 8642696131 |
| Mailing Fax Number | 8642696150 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1865 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TAX ID | 582479012 | 01 |
| SC | CH1865 | 05 |
| Street Address |
3029 WHITE HORSE RD SUITE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811934730 | Millstone Healthcare Associates, P.a. | Chiropractor | 3029 White Horse Rd, Suite A, Greenville, SC 29611 | 2006-05-31 |
| 1255578860 | Lary Richard Korn | General Practice | 3029 White Horse Rd, Suite B, Greenville, SC 29611-7701 | 2009-01-20 |
| 1396785234 | Joseph Daniel Mills | Chiropractor | 3029 White Horse Rd, Suite A, Greenville, SC 29611 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287601 | William Craig Hewitt | Chiropractor | 14 Airport Rd, Greenville, SC 29607-2528 | 2020-05-22 |
| 1396384491 | Shawn Michael Currie | Chiropractor | 413 Vardry St Ste 6b, Greenville, SC 29601-3331 | 2020-01-06 |
| 1851937247 | David Cifuentes | Chiropractor | 301 Airport Rd Unit G, Greenville, SC 29607-2610 | 2019-11-21 |
| 1548810153 | Thinc Chiropractic, LLC | Chiropractor | 579 Haywood Rd Ste 10, Greenville, SC 29607-2710 | 2019-09-16 |
| 1235781196 | Molly Danielle Spohn | Chiropractor | 107 Mills Ave, Greenville, SC 29605-4017 | 2019-07-11 |
| 1811461924 | Jennifer L Malkiel | Chiropractor | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2019-01-11 |
| 1548739949 | Dominic Geno Lupori | Chiropractor | 2702 E North St, Greenville, SC 29615-1715 | 2018-11-15 |
| 1669974739 | Robert Richard Maurer Jr. | Chiropractor | 19 Mohawk Dr, Greenville, SC 29609-5726 | 2018-03-06 |
| 1851800635 | Matthew Wink | Chiropractor | 4200 E North St Ste 6, Greenville, SC 29615-2437 | 2017-09-25 |
| 1063921179 | Brittany Scoggins | Chiropractor | 4109 E North St Ste 400, Greenville, SC 29615-6210 | 2017-09-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.