Individual provider Active NPI

Scott Cormier, L.AC.

  • Acupuncturist
  • Charleston, SC
National Provider Identifier
1073723706
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
165 Issued in SC
Practice address
513 Savannah Hwy
Unit a
Charleston, SC 29407-7353
Phone
(843) 640-1818
NPI assigned
May 23, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 078 NH
Acupuncturist 171100000X 165 SC Primary
Acupuncturist 171100000X 247 ME

Addresses

Primary practice location

513 Savannah Hwy
Unit a
Charleston, SC 29407-7353

Mailing address

513 Savannah Hwy
Unit a
Charleston, SC 29407-7353
Phone (843) 640-1818

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
247MEMDAcupuncturist
078NHMDAcupuncturist
165SCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1073723706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SAVANNAH HWY",
            "address_2": "UNIT A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077353",
            "telephone_number": "843-640-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 SAVANNAH HWY",
            "address_2": "UNIT A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077353",
            "telephone_number": "843-640-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "078",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "165",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.