Organization Active NPI

Back to Essential Health and Wellness Center, LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1043523962
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3556 Issued in SC
Legal business name
BACK TO ESSENTIAL HEALTH AND WELLNESS CENTER, LLC
Doing business as
Back To Essentials, LLC
Practice address
1713 Taylor St
Suite C
Columbia, SC 29201-3400
Phone
(803) 708-9674
Fax
(803) 708-8964
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Willshonda Claire Wages, DC
Title
Clinic Director
Phone
(803) 206-8348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3556 SC Primary

Addresses

Primary practice location

1713 Taylor St
Suite C
Columbia, SC 29201-3400

Mailing address

PO Box 23885
Columbia, SC 29224-3885
Phone (803) 708-9674

Other names 1

  • Back To Essentials, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1043523962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23885",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243885",
            "telephone_number": "803-708-9674",
            "fax_number": "803-708-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 TAYLOR ST",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013400",
            "telephone_number": "803-708-9674",
            "fax_number": "803-708-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ESSENTIAL HEALTH AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "WILLSHONDA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "803-206-8348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Essentials, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.