Active NPI
Herbert A Blassengale, CH
- Chiropractor
- Greenville, SC
National Provider Identifier
1851360747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1782
- Practice address
- 713 Pendleton St
Greenville, SC 29601-3321 - Phone
- (864) 232-5488
- Fax
- (864) 232-5388
- NPI assigned
- Mar 14, 2006
- 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 | 1782 | SC | Primary |
Addresses
Primary practice location
713 Pendleton St
Greenville, SC 29601-3321
Mailing address
713 Pendleton Street
Greenville, SC 29601-3307
Phone (864) 232-5488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH354 | Medicaid | SC |
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 |
|---|---|---|---|
| 1782 | SC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1851360747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 PENDLETON STREET",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013307",
"telephone_number": "864-232-5488",
"fax_number": "864-232-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 PENDLETON ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013321",
"telephone_number": "864-232-5488",
"fax_number": "864-232-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASSENGALE",
"first_name": "HERBERT",
"middle_name": "A",
"credential": "CH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH354",
"state": "SC"
}
],
"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 Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.