Organization Active NPI

West End Chiropractic of the Upstate, LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1972756187
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1782 Issued in SC
Legal business name
WEST END CHIROPRACTIC OF THE UPSTATE, LLC
Practice address
713 Pendleton St
Greenville, SC 29601-3321
Phone
(864) 232-5488
Fax
(864) 232-7388
NPI assigned
Oct 31, 2008
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Herbert A Blassengale III, DCNPI 1851360747
Title
Owner/Operator
Phone
(864) 232-5488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1782 SC Primary

Addresses

Primary practice location

713 Pendleton St
Greenville, SC 29601-3321

Mailing address

713 Pendleton St
Greenville, SC 29601-3321
Phone (864) 232-5488

Other identifiers 1

IdentifierTypeStateIssuer
CH1782MedicaidSC

National Provider Directory

National Provider Directory

Locations

713 Pendleton St
Greenville, SC 29601
Phone (864) 232-5488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1972756187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 PENDLETON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013321",
            "telephone_number": "864-232-5488",
            "fax_number": "864-232-7388"
        },
        {
            "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": "864-232-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END CHIROPRACTIC OF THE UPSTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BLASSENGALE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "864-232-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1782",
            "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 17, 2014; 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.