Active NPI
Charles Wapner
- Chiropractor
- Holly Hill, SC
National Provider Identifier
1093784266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 803
- Practice address
- 1120 State St
Holly Hill, SC 29059-2611 - Phone
- (803) 496-3338
- Fax
- (803) 496-9229
- NPI assigned
- Mar 17, 2006
- Last updated
- Oct 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 803 | SC | Primary |
| Chiropractor | 111N00000X | 1241 | NC |
Addresses
Primary practice location
1120 State St
Holly Hill, SC 29059-2611
Mailing address
PO Box 1487
Holly Hill, SC 29059-1487
Phone (803) 496-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T236342211 | Other | PROVIDER NUMBER | |
| CHO803 GCH182 | Other | MEDICAID PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 1241 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1093784266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1487",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "290591487",
"telephone_number": "803-496-3338",
"fax_number": "803-496-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 STATE ST",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "290592611",
"telephone_number": "803-496-3338",
"fax_number": "803-496-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAPNER",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "803",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1241",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "T236342211",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER",
"identifier": "CHO803 GCH182",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.