Individual provider Active NPI

C. Derrick Belue, DC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1811945686
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1369 Issued in SC
Practice address
813 N Pine St
Spartanburg, SC 29303-3128
Phone
(864) 585-2600
Fax
(864) 585-5643
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1369 SC Primary

Addresses

Primary practice location

813 N Pine St
Spartanburg, SC 29303-3128

Mailing address

813 N Pine St
P.O. Box 4439
Spartanburg, SC 29303-3128
Phone (864) 585-2600

Other identifiers 1

IdentifierTypeStateIssuer
CH1369MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000255 SC Practitioner - Chiropractic 8921179334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belue Chiropractic IncGroup PAC ID 1951621630, 2 clinicians

Practice addresses (Care Compare)

813 N Pine St
Spartanburg, SC 29303-3128
Phone (864) 585-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belue Chiropractic Inc Chiropractor CurrentSince Apr 15, 2015 Accepting new patients

Locations

813 N Pine St
Spartanburg, SC 29303
Phone (864) 585-2600

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1811945686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N PINE ST",
            "address_2": "P.O. BOX 4439",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033128",
            "telephone_number": "864-585-2600",
            "fax_number": "864-585-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033128",
            "telephone_number": "864-585-2600",
            "fax_number": "864-585-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELUE",
        "first_name": "C. DERRICK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1369",
            "state": "SC"
        }
    ],
    "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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.