Chad Richard Wagner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3296 Issued in SC

Practice address

115 Southport Rd Ste B
Spartanburg, SC 29306-3814

Phone

(864) 804-6612

Fax

(864) 488-2216

NPI assigned

Nov 8, 2007

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Chiropractic & Wellness, PC

  • Chiropractor
  • Spartanburg, SC
  • NPI 1154763829
  Medicare reassignment NPD Authorized official
• South Carolina Back Pain & Wellness Center

  • Chiropractor
  • Gaffney, SC
  • NPI 1841447612
  Medicare reassignment NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1164602009",
    "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": "864-414-5903",
            "fax_number": "864-488-0410"
        },
        {
            "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": {
        "last_name": "WAGNER",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiann Danielle Waddell, LISW-CP
• Beverly Wade, MMFT, LMFT
• Sara Katherine Wade, LMFT-A
• Thomas Wager II, PT, DPT
• Brian Wagner
• Jeffrey M Wagner, MD
• Kayce Leah Wagner, MS, ATC
• Lindsay Anne Wagner, RN
• Katelyn Wagoner
• Daniel Lee Wagstaff, M.D.

• Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.