Individual provider Active NPI

Marian Samir Abdelsayed, DC

  • Chiropractor
  • Mauldin, SC
National Provider Identifier
1144082017
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5043 Issued in SC
Practice address
306 E Butler Rd Ste B
Mauldin, SC 29662-3251
Phone
(864) 558-5777
NPI assigned
Jan 26, 2024
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
5043SCMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5043 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

306 E Butler Rd Ste B
Mauldin, SC 29662-3251

Mailing address

306 E Butler Rd Ste B
Mauldin, SC 29662-3251
Phone (864) 558-5777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2024.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1144082017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E BUTLER RD STE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623251",
            "telephone_number": "864-558-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E BUTLER RD STE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623251",
            "telephone_number": "864-558-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELSAYED",
        "first_name": "MARIAN",
        "middle_name": "SAMIR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.