Individual provider Active NPI

Suzanne Brittany Earehart, D.C.

  • Rehabilitation Chiropractor
  • Greenville, SC
National Provider Identifier
1821464207
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4030 Issued in SC
Practice address
1014 Wade Hampton Blvd Ste 5
Greenville, SC 29609-5061
Phone
(864) 541-0605
NPI assigned
Aug 19, 2015
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4030 SC
Chiropractor 111N00000X 983 WV
Chiropractor 111N00000X 4556 NC
Rehabilitation Chiropractor 111NR0400X 4030 SC Primary

Addresses

Primary practice location

1014 Wade Hampton Blvd Ste 5
Greenville, SC 29609-5061

Mailing address

1014 Wade Hampton Blvd Ste 5
Greenville, SC 29609-5061
Phone (864) 541-0605

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4556NCMDChiropractor
4030SCMDChiropractor
983WVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1821464207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WADE HAMPTON BLVD STE 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095061",
            "telephone_number": "864-541-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WADE HAMPTON BLVD STE 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095061",
            "telephone_number": "864-541-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAREHART",
        "first_name": "SUZANNE",
        "middle_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4030",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "983",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4556",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.