Active NPI
Erik Beauvais, D.C.
- Chiropractor
- Simpsonville, SC
National Provider Identifier
1750611166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3519
- Practice address
- 15 Summercrest Cir
Simpsonville, SC 29681-4664 - Phone
- (864) 590-0125
- NPI assigned
- Jan 6, 2010
- Last updated
- Nov 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3519 | Other | SC | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3519 | SC | MD | Occupational Therapy Assistant |
| 4530 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Medicine and | Chiropractor | Past | Accepting new patients |
| Moss Enterprise | Chiropractor | Past | 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.
-
dba CORE Health Centers-East Spartanburg
- General Practice Physician
- Spartanburg, SC
- NPI 1124342506
Chiropractor
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.