Organization Active NPI

Memminger Chiropractic Center

  • Internist Chiropractor
  • Walterboro, SC
National Provider Identifier
1346731015
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
4206 Issued in SC
Legal business name
MEMMINGER CHIROPRACTIC CENTER
Practice address
101 Lands End Rd
Walterboro, SC 29488-3748
Phone
(864) 586-0656
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dr. Wayne Morris Memminger, DCNPI 1730699414
Title
Owner/Chiropractor
Phone
(864) 586-0656

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
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 4206 SC Primary

Addresses

Primary practice location

101 Lands End Rd
Walterboro, SC 29488-3748

Mailing address

113 Wiley St
Walterboro, SC 29488-3046
Phone (864) 586-0656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912002489 SC Part B Supplier - Clinic/Group Practice 0446500409 Receives reassigned benefits from 1 practitioner
Practice locations: Walterboro, SC

National Provider Directory

National Provider Directory

Locations

101 Lands End Rd
Walterboro, SC 29488
Phone (843) 782-4575

107 N Lucas St
Walterboro, SC 29488
Phone (843) 549-5123

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": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1346731015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WILEY ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883046",
            "telephone_number": "864-586-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LANDS END RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883748",
            "telephone_number": "864-586-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMMINGER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "MEMMINGER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "864-586-0656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "SC",
            "license": "4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.