Active NPI
Savannah Bidwell, DC
- Chiropractor
- Greer, SC
National Provider Identifier
1023475753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4103
- Practice address
- 140 Sage Creek Way
Greer, SC 29650-0957 - Phone
- (864) 848-0640
- NPI assigned
- Jan 26, 2016
- Last updated
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4103 | SC | Primary |
Addresses
Primary practice location
140 Sage Creek Way
Greer, SC 29650-0957
Mailing address
445 Jewelwood Dr
Lyman, SC 29365-1353
Phone (803) 378-7031
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4103 | SC | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Living-Simpsonville Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
140 Sage Creek Way
Greer, SC 29650
Phone (864) 846-0640
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Simpsonville, SC
- NPI 1346843489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1023475753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 JEWELWOOD DR",
"city": "LYMAN",
"state": "SC",
"postal_code": "293651353",
"telephone_number": "803-378-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SAGE CREEK WAY",
"city": "GREER",
"state": "SC",
"postal_code": "296500957",
"telephone_number": "864-848-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDWELL",
"first_name": "SAVANNAH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.