Active NPI
Victory Spinal Care Clemson LLC
- Chiropractor
- Seneca, SC
National Provider Identifier
1003720574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VICTORY SPINAL CARE CLEMSON LLC
- Practice address
- 10873 Clemson Blvd Unit 113
Seneca, SC 29678-1397 - Phone
- (814) 516-2897
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jered Wayland, DC
- Title
- Owner
- Phone
- (573) 837-9107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
10873 Clemson Blvd Unit 113
Seneca, SC 29678-1397
Mailing address
1424 Kurre LN
Cape Girardeau, MO 63701-2254
Phone (573) 334-0100
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.
-
- Chiropractor
- Cape Girardeau, MO
- NPI 1114173143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1003720574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 KURRE LN",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012254",
"telephone_number": "573-334-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10873 CLEMSON BLVD UNIT 113",
"city": "SENECA",
"state": "SC",
"postal_code": "296781397",
"telephone_number": "814-516-2897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY SPINAL CARE CLEMSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "WAYLAND",
"authorized_official_first_name": "JERED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-837-9107",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.