Spine Doctors of Aiken LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3402 Issued in SC

Legal business name

SPINE DOCTORS OF AIKEN LLC

Practice address

2645 Whiskey Rd
Suite 109
Aiken, SC 29803-8075

Phone

(803) 226-0061

Fax

(803) 226-0077

NPI assigned

Dec 28, 2008

Last updated

Dec 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Shekeil Wallace, DCNPI 1902042872

Title

Doctor

Phone

(803) 226-0061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Maurice Shekeil Wallace

  • Chiropractor
  • Aiken, SC
  • NPI 1902042872
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230422400000",
    "number": "1053557843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 WHISKEY RD",
            "address_2": "SUITE 109",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038075",
            "telephone_number": "803-226-0061",
            "fax_number": "803-226-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 WHISKEY RD",
            "address_2": "SUITE 109",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038075",
            "telephone_number": "803-226-0061",
            "fax_number": "803-226-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DOCTORS OF AIKEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "SHEKEIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "803-226-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specs Vision Center of Aiken, Inc
• Speechworks of Aiken, LLC
• Jessica Spencer, ED.S.
• Michael Edward Spillane, PA-C
• Margaret Spilman
• Edward Page Spivey, RPH
• Arnold R Spokane, PH.D.
• Sports Plus
• Sports Plus
• Mason Spratling, PT, DPT

• Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.