Individual provider Active NPI

Linda Chinnici Wells, DC

  • Chiropractor
  • Ridgeland, SC
National Provider Identifier
1417092065
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1311 Issued in SC
Practice address
124 Railroad Ave
Ridgeland, SC 29936
Phone
(843) 726-5990
NPI assigned
Feb 21, 2007
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1311 SC Primary

Addresses

Primary practice location

124 Railroad Ave
Ridgeland, SC 29936

Mailing address

PO Box 1211
Ridgeland, SC 29936
Phone (843) 726-5990

Other names 1

  • Linda Marie Chinnini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000895 SC Practitioner - Chiropractic 1850567348 Practice locations: Ridgeland, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 Railroad Ave
Ridgeland, SC 29936
Phone (843) 726-5990

PO Box
Suite 1211
Ridgeland, SC 29936

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1417092065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1211",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-726-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RAILROAD AVE",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-726-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LINDA",
        "middle_name": "CHINNICI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "CHINNINI",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.