Active NPI
Tony Wayne Vanderpool, D.C.
- Chiropractor
- Mt Pleasant, SC
National Provider Identifier
1093763732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SC2149
- Practice address
- 1965 Riviera Dr
Suite 3
Mt Pleasant, SC 29464-7469 - Phone
- (843) 884-7100
- Fax
- (843) 884-7340
- NPI assigned
- May 5, 2006
- 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 | SC2149 | SC | Primary |
Addresses
Primary practice location
1965 Riviera Dr
Suite 3
Mt Pleasant, SC 29464-7469
Mailing address
1965 Riviera Dr
Suite 3
Mt Pleasant, SC 29464-7469
Phone (843) 884-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2149 | Medicaid | SC |
Other names 1
- Dr. Anthony Wayne Vanderpool
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1965 Riviera Dr
Suite 3
Mount Pleasant, SC 29464-7469
Phone (843) 884-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2149 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Center, Inc | Chiropractor | Current | Accepting new patients |
Locations
1965 Riviera Dr
Unit 3
Mt Pleasant, SC 29464
Phone (843) 884-7100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mt Pleasant, SC
- NPI 1114200334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1093763732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 RIVIERA DR",
"address_2": "SUITE 3",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647469",
"telephone_number": "843-884-7100",
"fax_number": "843-884-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 RIVIERA DR",
"address_2": "SUITE 3",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647469",
"telephone_number": "843-884-7100",
"fax_number": "843-884-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERPOOL",
"first_name": "TONY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "SC2149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2149",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTHONY",
"last_name": "VANDERPOOL",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mt Pleasant, SC
- Suzanne Van Kirk, PHD, MSN, FNP-BC
- Alison Van Metter, COTA
- Stacy Vanbibber, MS, RD, LD
- Mary Vanbuskirk, MA, SLP/CCC
- Abby J. Vanderah, OD
- Katherine Vanderstad, OTR/L
- Alexandra Joan Vandersteenhoven-Creger, M.A., C.C.C. - SLP
- Alexandra Denton Vandeventer, PHARMD
- Kimberly Ann Vanesko, FNP
- Lauren Rose Vanhall, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.