Upstate Spine & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1396 Issued in SC

Legal business name

UPSTATE SPINE & WELLNESS, LLC

Practice address

319 The Pkwy
Suite B
Greer, SC 29650-5211

Phone

(864) 801-1980

Fax

(864) 801-1312

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Gordon Laney, D.C.NPI 1093771255

Title

Managing Member

Phone

(864) 801-1980

Specialties & licenses 1

Addresses

Other names 1

• Laney Enterprise of the Carolinas, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Laney Enterprise of the Carolinas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Upstate Spine & Wellness, LLC

  • Chiropractor
  • Greer, SC
  • NPI 1992985964
  NPD tax ID

Locations

Practitioners 1

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

• Wayne Gordon Laney, D.C.

  • Chiropractor
  • Greer, SC
  • NPI 1093771255
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1295057750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 THE PKWY",
            "address_2": "SUITE B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505211",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 THE PKWY",
            "address_2": "SUITE B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505211",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SPINE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "864-801-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laney Enterprise of the Carolinas, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Upstate Pedorthic Services Inc.
• Upstate Plastic Surgery
• Upstate Podiatry Group, PA
• Upstate Speech and Language Services, LLC
• Upstate Spine & Joint, LLC.
• Upstate Spine & Wellness, LLC
• Urgent Care of the Upstate, Inc.
• Nkechi Uzoukwu
• Sarah Rebekah Vagenas, DO
• Harini Vakamudi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.

Verify at the official NPI Registry.