Organization Active NPI

Bedenbaugh Chiropractic and Wellness LLC.

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1134557788
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3586 Issued in SC
Legal business name
BEDENBAUGH CHIROPRACTIC AND WELLNESS LLC.
Practice address
1463 E Main St
Suite a
Spartanburg, SC 29307-2246
Phone
(864) 812-0237
NPI assigned
Oct 17, 2013
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Christopher James Bedenbaugh, D.C.NPI 1215240759
Title
Doctor of Chiropractic/Owner
Phone
(864) 812-0237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3586 SC Primary

Addresses

Primary practice location

1463 E Main St
Suite a
Spartanburg, SC 29307-2246

Mailing address

1463 E Main St
Suite a
Spartanburg, SC 29307-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140611001842 SC Part B Supplier - Clinic/Group Practice 0648494765 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

1463 E Main St
#A
Spartanburg, SC 29307
Phone (864) 804-6651

1463 E Main St
Ste A
Spartanburg, SC 29307
Phone (864) 804-6651

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1134557788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 E MAIN ST",
            "address_2": "SUITE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 E MAIN ST",
            "address_2": "SUITE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072246",
            "telephone_number": "864-812-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDENBAUGH CHIROPRACTIC AND WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BEDENBAUGH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "864-812-0237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.