Charles Robert Wade, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

894 Issued in MS

Practice address

1527 University Ave
Oxford, MS 38655-4033

Phone

(662) 236-6888

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid South Chiropractic of Hernando PLLCGroup PAC ID 8022383025, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid South Chiropractic of Hernando PLLC

  • Chiropractor
  • Hernando, MS
  • NPI 1750807301
  Medicare reassignment Care Compare group NPD
• Desoto Primary Care Clinic, PLLC

  • Family Medicine Physician
  • Olive Branch, MS
  • NPI 1477643732
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598898314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554033",
            "telephone_number": "662-236-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554033",
            "telephone_number": "662-236-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtual Care Network LLC
• Sirpi Vivekanandam Sachithanandam, MBBS
• Amy Carole Vlach, PH.D
• Mary Lela Valentine Vonder Haar, PA
• Virginia Allyn Wachter, APRN
• Jennifer Edington Wade, APRN, BC
• Kimberly D Wadley, M.S.
• Staci Alys Waites, M.ED.
• Cynthia Ellen Waits, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0699)

• Chiropractor in Oxford, MS
• Providers in Oxford, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.