Individual provider Active NPI

David Chad Underwood, D.C.

  • Chiropractor
  • Inman, SC
National Provider Identifier
1679755300
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3312 Issued in SC
Practice address
11631 Asheville Hwy
Suite I
Inman, SC 29349-1812
Phone
(864) 473-0242
Fax
(864) 472-0373
NPI assigned
Dec 5, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11631 Asheville Hwy
Suite I
Inman, SC 29349-1855
Phone (864) 473-0242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000704 SC Practitioner - Chiropractic 3072698414 Practice locations: Inman, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3312SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Inc Chiropractor Past Accepting new patients
Underwood Family Chiropractic LLC Chiropractor Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3312 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

11631 Asheville Hwy
Suite I
Inman, SC 29349-1812

Mailing address

11631 Asheville Hwy
Suite I
Inman, SC 29349-1812
Phone (864) 473-0242

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
CH3312MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2011.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1679755300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 ASHEVILLE HWY",
            "address_2": "SUITE I",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491812",
            "telephone_number": "864-473-0242",
            "fax_number": "864-472-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 ASHEVILLE HWY",
            "address_2": "SUITE I",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491812",
            "telephone_number": "864-473-0242",
            "fax_number": "864-472-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DAVID",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3312",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.