Individual provider Active NPI

Paul John Verticchio, D.C.

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1346289972
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1403 Issued in SC
Practice address
706 E Main St
Spartanburg, SC 29302-1290
Phone
(864) 948-0035
Fax
(864) 948-0084
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1403 SC Primary

Addresses

Primary practice location

706 E Main St
Spartanburg, SC 29302-1290

Mailing address

706 E Main St
Spartanburg, SC 29302-1290
Phone (864) 948-0035

Other identifiers 1

IdentifierTypeStateIssuer
1346289972OtherSCNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1346289972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021290",
            "telephone_number": "864-948-0035",
            "fax_number": "864-948-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021290",
            "telephone_number": "864-948-0035",
            "fax_number": "864-948-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTICCHIO",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346289972",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.