Swalley Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3925 Issued in SC

Legal business name

SWALLEY CHIROPRACTIC LLC

Doing business as

Gonstead Chiropractic Center

Practice address

1698 Highway 160 W
Suite 140
Fort Mill, SC 29708-8032

Phone

(803) 547-9977

Fax

(803) 547-9978

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Micah Wade Swalley, D.C.NPI 1811330681

Title

President

Phone

(616) 446-0755

Specialties & licenses 1

Addresses

Other names 1

• Gonstead Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micah Wade Swalley, D.C.

  • Chiropractor
  • Fort Mill, SC
  • NPI 1811330681
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1568858900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 140",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-9977",
            "fax_number": "803-547-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 140",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-9977",
            "fax_number": "803-547-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWALLEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SWALLEY",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-446-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M. Supsura, M.S.CCC/SLP
• Benjamin David Sutker, MD
• Sara Lynn Suttles, O.D.
• Christopher David Sutton, M.D.
• Jill Glenann Sutton, DPT
• Micah Wade Swalley, D.C.
• Kylara Rogers Swartzlander, MASSAGE THERAPIST
• Meredith Jane Sweeney
• Kristine Sweezey, PT
• Reagan Sydes

• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.