Nicholas Alexander Wise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2549 Issued in SC

Practice address

1400 Fernwood Glendale Rd
Spartanburg, SC 29307-3043

Phone

(864) 585-5558

Fax

(864) 585-9888

NPI assigned

Mar 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wise Chiropractic, LLC

  • Chiropractor
  • Portland, OR
  • NPI 1104600113
  NPD (past) Authorized official
• Wise Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Spartanburg, SC
  • NPI 1457753881
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1194784140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FERNWOOD GLENDALE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073043",
            "telephone_number": "864-585-5558",
            "fax_number": "864-585-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FERNWOOD GLENDALE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073043",
            "telephone_number": "864-585-5558",
            "fax_number": "864-585-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiregrass Hospice of South Carolina, LLC (Gentiva)
• Wise Chiropractic & Rehabilitation, LLC
• Wise Chiropractic and Wellness, LLC
• Barbara Lynne Wise-Siegel, BARBARA WISE-SIEGEL
• Frances Patricia Wise, ACNP
• Rebecca Olivia Wise
• Susanne Cochran Wise, PA
• Geona Witcher
• With Open Arms Homecare LLC
• Carl Vincent Witherspoon, PMHNP-BC

• 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 Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.