Individual provider Active NPI

Misty Ann Geiyer, DC

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1003993395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2546 Issued in SC
Practice address
215 N Main St Unit 2a
Simpsonville, SC 29681-2342
Phone
(864) 962-5504
Fax
(864) 967-3788
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2546 SC Primary

Addresses

Primary practice location

215 N Main St Unit 2a
Simpsonville, SC 29681-2342

Mailing address

655H Fairview Rd # 255
Simpsonville, SC 29680-6706
Phone (864) 962-5504

Other identifiers 1

IdentifierTypeStateIssuer
CH2546MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2546SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003993395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655H FAIRVIEW RD # 255",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806706",
            "telephone_number": "864-962-5504",
            "fax_number": "864-967-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST UNIT 2A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812342",
            "telephone_number": "864-962-5504",
            "fax_number": "864-967-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIYER",
        "first_name": "MISTY",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2546",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.