Active NPI
Anderson Wellness Center
- Chiropractor
- Anderson, SC
National Provider Identifier
1528113362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2663
- Legal business name
- ANDERSON WELLNESS CENTER
- Practice address
- 1704 E Greenville St
Anderson, SC 29621-7914 - Phone
- (864) 617-9300
- NPI assigned
- Jan 24, 2007
- Last updated
- May 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen M Geles, DC
- Title
- Chiropractor
- Phone
- (864) 617-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2663 | SC | Primary |
Addresses
Primary practice location
1704 E Greenville St
Anderson, SC 29621-7914
Mailing address
1704 E Greenville St
Anderson, SC 29621-7914
Phone (864) 617-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2663 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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.
-
- Chiropractor
- Anderson, SC
- NPI 1558474668
-
- Family Medicine Physician
- Anderson, SC
- NPI 1306895123
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1437338068
-
- Family Medicine Physician
- Anderson, SC
- NPI 1114952272
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1851334882
-
- Family Medicine Physician
- Williamston, SC
- NPI 1245291384
-
- Family Medicine Physician
- Forest City, NC
- NPI 1053371716
-
- Nurse Practitioner
- Asheville, NC
- NPI 1174503635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1528113362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217914",
"telephone_number": "864-617-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217914",
"telephone_number": "864-617-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "GELES",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "864-617-9300",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2663",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.