Individual provider Active NPI

Steven Lee Reizer, D.C.

  • Chiropractor
  • Boiling Springs, SC
National Provider Identifier
1811970924
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2058 Issued in SC
Practice address
4222 Highway 9
Boiling Springs, SC 29316-6004
Phone
(864) 814-2222
Fax
(864) 814-2209
NPI assigned
Nov 22, 2005
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2058 SC Primary

Addresses

Primary practice location

4222 Highway 9
Boiling Springs, SC 29316-6004

Mailing address

415 Rhapsody LN
Boiling Springs, SC 29316-5696
Phone (864) 578-0781

Other identifiers 1

IdentifierTypeStateIssuer
CH2058MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001577 SC Practitioner - Chiropractic 6608836812 Practice locations: Boiling Springs, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4222 Hwy 9
Boiling Springs, SC 29316-8581
Phone (864) 814-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1811970924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RHAPSODY LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165696",
            "telephone_number": "864-578-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 HIGHWAY 9",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166004",
            "telephone_number": "864-814-2222",
            "fax_number": "864-814-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIZER",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2058",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.