Individual provider Active NPI

Dylan Arnold

  • Massage Therapist
  • Beaufort, SC
National Provider Identifier
1104236470
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9027 Issued in SC
Practice address
2121 Boundary St
Ste 205
Beaufort, SC 29902-6804
Phone
(843) 252-0540
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 9027 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

2121 Boundary St
Ste 205
Beaufort, SC 29902-6804

Mailing address

2121 Boundary St
Ste 205
Beaufort, SC 29902-6804
Phone (843) 252-0540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2014.

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1104236470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BOUNDARY ST",
            "address_2": "STE 205",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026804",
            "telephone_number": "843-252-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BOUNDARY ST",
            "address_2": "STE 205",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026804",
            "telephone_number": "843-252-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "9027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.