Individual provider Active NPI

Nathaniel Christian Oncken, DC

  • Chiropractor
  • Greenwood, SC
National Provider Identifier
1447211214
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3107 Issued in SC
Practice address
423 Calhoun Ave
B
Greenwood, SC 29649-2015
Phone
(864) 223-2224
Fax
(864) 223-2225
NPI assigned
Mar 31, 2006
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 3107 SC Primary

Addresses

Primary practice location

423 Calhoun Ave
B
Greenwood, SC 29649-2015

Mailing address

423 Calhoun Ave
B
Greenwood, SC 29649-2015
Phone (864) 223-2224

Other identifiers 1

IdentifierTypeStateIssuer
CH3107MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060720000199 SC Practitioner - Chiropractic 8729091582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

423 Calhoun Ave
B
Greenwood, SC 29649-2015
Phone (864) 223-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3107SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald City Chiropractic LLC Chiropractor CurrentSince Jul 21, 2006 Accepting new patients

Locations

204 Montague Ave
Ste A
Greenwood, SC 29649
Phone (864) 223-4697

423 Calhoun Ave
#B
Greenwood, SC 29649
Phone (864) 223-2224

423B Calhoun Ave
Greenwood, SC 29649
Phone (864) 223-2224

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1447211214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CALHOUN AVE",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492015",
            "telephone_number": "864-223-2224",
            "fax_number": "864-223-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CALHOUN AVE",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492015",
            "telephone_number": "864-223-2224",
            "fax_number": "864-223-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCKEN",
        "first_name": "NATHANIEL",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3107",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.