Organization Active NPI

Belue Chiropractic Inc

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1154709129
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1369 Issued in SC
Legal business name
BELUE CHIROPRACTIC INC
Practice address
813 N Pine St
Spartanburg, SC 29303-3128
Phone
(864) 585-2600
Fax
(864) 585-5643
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Charles Derrick Belue, DC
Title
President
Phone
(864) 585-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1369 SC Primary

Addresses

Primary practice location

813 N Pine St
Spartanburg, SC 29303-3128

Mailing address

813 N Pine St
Spartanburg, SC 29303-3128
Phone (864) 585-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520001468 SC Part B Supplier - Clinic/Group Practice 1951621630 Receives reassigned benefits from 2 practitioners
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

813 N Pine St
Spartanburg, SC 29303
Phone (864) 585-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1154709129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033128",
            "telephone_number": "864-585-2600",
            "fax_number": "864-585-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033128",
            "telephone_number": "864-585-2600",
            "fax_number": "864-585-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELUE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BELUE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-585-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.