Active NPI
Atlas Chiropractic & Wellness, PC
- Chiropractor
- Spartanburg, SC
National Provider Identifier
1154763829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ATLAS CHIROPRACTIC & WELLNESS, PC
- Practice address
- 115 Southport Rd Ste B
Spartanburg, SC 29306-3814 - Phone
- (864) 804-6612
- Fax
- (864) 488-2216
- NPI assigned
- Jul 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Richard Wagner, DC
- Title
- President
- Phone
- (864) 488-0410
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
115 Southport Rd Ste B
Spartanburg, SC 29306-3814
Mailing address
PO Box 2068
Gaffney, SC 29342-2068
Phone (864) 488-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 Southport Rd
Ste B
Spartanburg, SC 29306
Phone (864) 804-6612
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Spartanburg, SC
- NPI 1164602009
-
- Chiropractor
- Gaffney, SC
- NPI 1396882130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1154763829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2068",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293422068",
"telephone_number": "864-488-0410",
"fax_number": "864-488-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SOUTHPORT RD STE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063814",
"telephone_number": "864-804-6612",
"fax_number": "864-488-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS CHIROPRACTIC & WELLNESS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-23",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-488-0410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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 Aug 18, 2016; 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.