Individual provider Active NPI

Wade C Verch, DC

  • Chiropractor
  • Newberry, SC
National Provider Identifier
1134575897
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4148 Issued in SC
Practice address
1112 Calhoun St
Newberry, SC 29108-3445
Phone
(803) 597-5099
Fax
(803) 597-5106
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4148 SC Primary

Addresses

Primary practice location

1112 Calhoun St
Newberry, SC 29108-3445

Mailing address

211 Eddie Chasteen Dr
Walterboro, SC 29488-5728

Other practice location 1

943 Old Cherokee Rd
Lexington, SC 29072-9042
Phone (803) 356-9315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolinawestclinic@outlook.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170217001373 SC Practitioner - Chiropractic 2365725355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verch ChiropracticGroup PAC ID 5991103780, 3 clinicians

Practice addresses (Care Compare)

943 Old Cherokee Rd
Lexington, SC 29072-9042
Phone (803) 356-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4148SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Verch Chiropractic CurrentSince May 13, 2021 Accepting new patients
New Covenant Enterprise, LLC CurrentSince Jul 15, 2019 Accepting new patients
SC Lowcountry Chiropractic LLC Chiropractor Current Accepting new patients
Bigbie Chiropractic Office Chiropractor CurrentSince May 13, 2021 Accepting new patients

Locations

943 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 356-9315

1112 Calhoun St
Newberry, SC 29108
Phone (803) 380-2223

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1134575897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CALHOUN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083445",
            "telephone_number": "803-597-5099",
            "fax_number": "803-597-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Old Cherokee Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290729042",
            "country_code": "US",
            "telephone_number": "803-356-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERCH",
        "first_name": "WADE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolinawestclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1112 Calhoun St",
            "city": "Newberry",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291083445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.

Verify at the official NPI Registry.