Wade Edward Sproviero, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000891 Issued in VA

Practice address

2744 Glendale Rd
Galax, VA 24333-5350

Phone

(276) 236-3833

NPI assigned

Jan 24, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Basic Essentials Spinal Care Center

  • Chiropractor
  • Galax, VA
  • NPI 1588843023
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1689729477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335350",
            "telephone_number": "276-236-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335350",
            "telephone_number": "276-236-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROVIERO",
        "first_name": "WADE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "042901",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rebecca L. Stanley, BS
• Ian J Stevenson
• Christopher Stone
• Strategic Therapy Associates, Inc.
• Strategic Therapy Associates, Inc.

• Chiropractor in Galax, VA
• Providers in Galax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.