Organization Active NPI

Spizzerinctum, Inc.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1235463100
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3243 Issued in SC
Legal business name
SPIZZERINCTUM, INC.
Practice address
260 Graces Way
Columbia, SC 29229-1613
Phone
(803) 736-3700
Fax
(803) 708-7123
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Walter Scott Allen, D.C.NPI 1023147311
Title
Ceo
Phone
(803) 736-3700

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3243 SC Primary

Addresses

Primary practice location

260 Graces Way
Columbia, SC 29229-1613

Mailing address

260 Graces Way
Columbia, SC 29229-1613
Phone (803) 736-3700

Other names 1

  • Specific Chiropractic of SC Doing business as

National Provider Directory

National Provider Directory

Locations

140 Wildewood Park Dr
Ste A
Columbia, SC 29223
Phone (803) 736-3700

260 Graces Way
Columbia, SC 29229
Phone (803) 736-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1235463100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GRACES WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292291613",
            "telephone_number": "803-736-3700",
            "fax_number": "803-708-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GRACES WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292291613",
            "telephone_number": "803-736-3700",
            "fax_number": "803-708-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIZZERINCTUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-736-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specific Chiropractic of SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.