Dr Joe Dupuy PC – Primary Care Clinic/Center

Key facts

NPI: 1285897355
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
License: 2957 (SD)
Legal business name: DR JOE DUPUY PC
Practice address: 1209 NE Main St Ste C
Simpsonville, SC 29681
Phone: (864) 399-9563
Fax: (864) 399-9564
NPI assigned: Jul 8, 2008
Organization subpart: No

Authorized official

Name: Dr. Joseph Andrew Dupuy, DC NPI 1649214420
Title: Owner
Phone: (864) 399-9563

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Joseph Andrew Dupuy, DC Chiropractor · Greer, SC · NPI 1649214420

Medicare reassignment NPD Authorized official SC

Medicare participation

Medicare fee-for-service enrollment: Enrolled in SC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20101110001096	SC	Part B Supplier - Clinic/Group Practice	4385839836	Receives reassigned benefits from 1 practitioner Practice locations: Simpsonville, SC

National Provider Directory

Locations

1209 NE Main St
Ste C
Simpsonville, SC 29681
Phone (864) 399-9563

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X	2957	SD	Yes

Addresses

Primary practice location

1209 NE Main St Ste C
Simpsonville, SC 29681

Mailing address

1209 NE Main St Ste C
Simpsonville, SC 29681
Phone (864) 399-9563

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2008.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1285897355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-399-9563",
            "fax_number": "864-399-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-399-9563",
            "fax_number": "864-399-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOE DUPUY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DUPUY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-399-9563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SD",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · Primary Care Clinic/Center in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.