Regenerative Solutions LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

REGENERATIVE SOLUTIONS LLC

Practice address

4016 River Oaks Dr Ste 4
Myrtle Beach, SC 29579-6673

Phone

(843) 286-5248

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jack Dwyer Scott, DC

Title

Owner

Phone

(843) 286-5248

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1447801030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70026",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720019",
            "telephone_number": "843-286-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 RIVER OAKS DR STE 4",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796673",
            "telephone_number": "843-286-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DWYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-286-5248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "regensolutionsmb@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4016 River Oaks Dr Ste 4",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295796673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orin R Redmond, LPC
• Priscilla Reed
• Daisy Reeves, PHARMD
• Reflections at Carolina Forest, Inc.
• Regenerative Health 360 LLC
• Katherine Brookes Regenhardt
• Christopher Jacob Reguyal
• Carol Reid, MD
• Maribeth Reid
• Tina Reidy

• Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.