Active NPI
Chase Lee Fowler, D.C.
- Chiropractor
- Spartanburg, SC
National Provider Identifier
1396134516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4000
- Practice address
- 222 E Blackstock Rd
Suite D
Spartanburg, SC 29301-2627 - Phone
- (864) 574-8881
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4000 | SC | Primary |
Addresses
Primary practice location
222 E Blackstock Rd
Suite D
Spartanburg, SC 29301-2627
Mailing address
350 Blackwell Rd
Blacksburg, SC 29702-9699
Phone (864) 491-0880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4000 | SC | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1396134516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BLACKWELL RD",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "297029699",
"telephone_number": "864-491-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E BLACKSTOCK RD",
"address_2": "SUITE D",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293012627",
"telephone_number": "864-574-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "CHASE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4000",
"primary": true
}
],
"identifiers": [],
"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 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.