NPIMap

Organization Active NPI

Bobbie Dameron

  • Massage Therapist
  • Spartanburg, SC
National Provider Identifier
1477917300
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9588 Issued in SC
Legal business name
BOBBIE DAMERON
Practice address
145 Tradd St
Spartanburg, SC 29301-5085
Phone
(864) 804-6395
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Bobbie G Dameron
Title
Massage Therapist
Phone
(501) 205-9463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 9588 SC Primary

Addresses

Primary practice location

145 Tradd St
Spartanburg, SC 29301-5085

Mailing address

8 N Orchard Farms Ave
Simpsonville, SC 29681-4866
Phone (501) 205-9463

National Provider Directory

National Provider Directory

Locations

145 Tradd St
Spartanburg, SC 29301
Phone (864) 804-6395

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1477917300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N ORCHARD FARMS AVE",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814866",
            "telephone_number": "501-205-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TRADD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015085",
            "telephone_number": "864-804-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBIE DAMERON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "501-205-9463"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "9588",
            "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 Apr 6, 2016; 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.