Spring Valley Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1037 Issued in SC

Legal business name

SPRING VALLEY CHIROPRACTIC

Practice address

9570 Two Notch Rd
Ste 1
Columbia, SC 29223-4309

Phone

(803) 736-2200

Fax

(803) 736-2201

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Gary S Weaver, CCSP DABCO DABFPNPI 1154482537

Title

Owner Doctor

Phone

(803) 736-2200

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Gary S Weaver DC Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Gary S Weaver, DC

  • Sports Physician Chiropractor
  • Columbia, SC
  • NPI 1154482537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1649463159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "STE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234309",
            "telephone_number": "803-736-2200",
            "fax_number": "803-736-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "STE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234309",
            "telephone_number": "803-736-2200",
            "fax_number": "803-736-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "803-736-2200",
        "authorized_official_credential": "CCSP DABCO DABFP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1037",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "1037",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "SC",
            "license": "1037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH120",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "DF 1270",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary S Weaver DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Steven Spotts, M.D.
• Tammy McPherson Spotts, RN
• Destanie Elizabeth Rose Spradley
• Nathaniel Phelps Spreare, D.C.
• Spring Oak Kathwood LLC
• Spring Valley Dental Associates LLC
• Spring Valley Family Practic
• Milaysia Springer
• Marydith Springs, PT
• Mathew Scott Springs, M.D.

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.