Individual provider Active NPI

Erik Beauvais, D.C.

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1750611166
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3519 Issued in SC
Practice address
15 Summercrest Cir
Simpsonville, SC 29681-4664
Phone
(864) 590-0125
NPI assigned
Jan 6, 2010
Last updated
Nov 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3519 SC Primary

Addresses

Primary practice location

15 Summercrest Cir
Simpsonville, SC 29681-4664

Mailing address

15 Summercrest Cir
Simpsonville, SC 29681-4664
Phone (864) 590-0125

Other identifiers 1

IdentifierTypeStateIssuer
3519OtherSCSTATE CHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3519SCMDOccupational Therapy Assistant
4530NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Medicine and Chiropractor Past Accepting new patients
Moss Enterprise Chiropractor PastSince Sep 27, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1750611166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUMMERCREST CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814664",
            "telephone_number": "864-590-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUMMERCREST CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814664",
            "telephone_number": "864-590-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUVAIS",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHIROPRACTIC LICENSE",
            "identifier": "3519",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

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