Individual provider Active NPI

David Edward Wade, DC, MD

  • Sports Physician Chiropractor
  • Oxford, AL
National Provider Identifier
1194724989
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1059 Issued in AL
Practice address
114 Hamric Dr E Ste 5
Oxford, AL 36203-2434
Phone
(256) 237-9423
Fax
(256) 237-6007
NPI assigned
Jul 14, 2005
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1059 AL Primary
Independent Medical Examiner Chiropractor 111NI0013X 1059 AL

Addresses

Primary practice location

114 Hamric Dr E Ste 5
Oxford, AL 36203-2434

Mailing address

PO Box 1794
Anniston, AL 36202-1794
Phone (256) 237-9423

Other identifiers 1

IdentifierTypeStateIssuer
6213099743OtherFMCSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000245 AL Practitioner - Chiropractic 4981796950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3001 McClellan Blvd
Anniston, AL 36201-2724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvo Health, LLC Independent Medical Examiner CurrentSince Dec 1, 2019 Accepting new patients
Family Health & Wellness, Inc. CurrentSince Jul 30, 2007 Accepting new patients
Associated Chiropractic Clinic Past Accepting new patients
Michael Sesay MD, LLC PastSince Oct 1, 2008 Accepting new patients
Associated Chiropractic Clinic, Inc PastSince Jun 12, 2007 Accepting new patients

Locations

3001 McClellan Blvd
Anniston, AL 36201
Phone (256) 237-9251

813 Snow St
#A
Oxford, AL 36203
Phone (256) 237-9423

828 Quintard Dr
#B
Oxford, AL 36203
Phone (256) 237-9423

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1194724989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1794",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021794",
            "telephone_number": "256-237-9423",
            "fax_number": "256-237-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HAMRIC DR E STE 5",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032434",
            "telephone_number": "256-237-9423",
            "fax_number": "256-237-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1059",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "AL",
            "license": "1059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMCSA",
            "identifier": "6213099743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.