Individual provider Active NPI

Erica Periard, DC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1073106449
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4702 Issued in SC
Practice address
3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118
Phone
(843) 352-7941
NPI assigned
Feb 17, 2021
Last updated
Aug 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12078823-8007 UT
Chiropractor 111N00000X 4702 SC Primary

Addresses

Primary practice location

3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118

Mailing address

3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826001656 SC Practitioner - Chiropractic 5496139347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12078823-8007UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Wellness Chiropractor CurrentSince Aug 14, 2022 Accepting new patients

Locations

3400 Salterbeck St
Ste 102
Mt Pleasant, SC 29466
Phone (843) 352-7941

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.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1073106449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SALTERBECK ST STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SALTERBECK ST STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667118",
            "telephone_number": "843-352-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIARD",
        "first_name": "ERICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-08-15",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12078823-8007",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.