Active NPI
David Vazquez, DC
- Chiropractor
- Summerville, SC
National Provider Identifier
1083552822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4659
- Practice address
- 464 Azalea Square Blvd Unit D
Summerville, SC 29483-7335 - Phone
- (643) 310-5535
- NPI assigned
- Mar 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4659 | SC | Primary |
Addresses
Primary practice location
464 Azalea Square Blvd Unit D
Summerville, SC 29483-7335
Mailing address
218 Oak View Way
Summerville, SC 29483-8200
Phone (310) 800-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4659 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1083552822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 OAK VIEW WAY",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838200",
"telephone_number": "310-800-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 AZALEA SQUARE BLVD UNIT D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837335",
"telephone_number": "643-310-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "DAVID",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.