Active NPI
Steven Lee Reizer, D.C.
- Chiropractor
- Boiling Springs, SC
National Provider Identifier
1811970924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2058
- 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, 2011
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2058 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.