Wickiser Clinic of Chiropractic

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

WICKISER CLINIC OF CHIROPRACTIC

Practice address

3618 E River St
Anderson, SC 29621-7334

Phone

(864) 224-0246

Fax

(864) 224-2524

NPI assigned

May 15, 2007

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary L Wickiser, D.C.

Title

Owner

Phone

(864) 224-0246

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clayton Wade Wickiser, DC

  • Chiropractor
  • Anderson, SC
  • NPI 1275511750
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1346456498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 E RIVER ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217334",
            "telephone_number": "864-224-0246",
            "fax_number": "864-224-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 E RIVER ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217334",
            "telephone_number": "864-224-0246",
            "fax_number": "864-224-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKISER CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "WICKISER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-224-0246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2599",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH104",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Whitmire, PHARM. D.
• Michael Timothy Whitt, RPTA
• Ryan Whitt, LAT, ATC
• Ruth Ann Whittam, R.N.
• Fe Pauline M Whoolery
• Wickiser Family Chiropractic
• Wickiser Rehab & Wellness LLC
• Clayton Wade Wickiser, DC
• Clifton Wayne Wickiser, D.C.
• Benjamin Junghoon Wie

• Rehabilitation Chiropractor in Anderson, SC
• Providers in Anderson, SC by specialty
• Rehabilitation Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.