NPIMap

Organization Active NPI

Nias Inc.

Doing business as BodyLogicMD of Greenville

  • Specialist
  • Greenville, SC
National Provider Identifier
1720308406
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
513 Issued in SC
Legal business name
NIAS INC.
Doing business as
BodyLogicMD of Greenville
Practice address
300 Executive Center Dr
Suite 200a
Greenville, SC 29615-4519
Phone
(877) 341-7407
Fax
(877) 341-7408
NPI assigned
Jun 4, 2010
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Kenneth Orbeck, DO
Title
Director
Phone
(877) 749-8832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 513 SC Primary

Addresses

Primary practice location

300 Executive Center Dr
Suite 200a
Greenville, SC 29615-4519

Mailing address

300 Executive Center Dr
Suite 200a
Greenville, SC 29615-4519
Phone (877) 341-7407

Other names 1

  • BodyLogicMD of Greenville Doing business as

National Provider Directory

National Provider Directory

Locations

300 Executive Center Dr
Ste 200A
Greenville, SC 29615
Phone (877) 341-7407

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1720308406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154519",
            "telephone_number": "877-341-7407",
            "fax_number": "877-341-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154519",
            "telephone_number": "877-341-7407",
            "fax_number": "877-341-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "ORBECK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-749-8832",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.