Active NPI
Back to Essential Health and Wellness Center, LLC
- Chiropractor
- Columbia, SC
National Provider Identifier
1043523962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3556
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Columbia, SC
- NPI 1740598200
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.