Organization Active NPI

Chiropractic Wellness Center Inc.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1699786509
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1187 Issued in SC
Legal business name
CHIROPRACTIC WELLNESS CENTER INC.
Practice address
5209 Forest Dr
Suite C
Columbia, SC 29206-5422
Phone
(803) 771-9990
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Dr. Rochelle Jones, D.C.NPI 1114921780
Title
Owner/Chiropractor
Phone
(803) 771-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1187 SC Primary

Addresses

Primary practice location

5209 Forest Dr
Suite C
Columbia, SC 29206-5422

Mailing address

5209 Forest Dr
Suite C
Columbia, SC 29206-5422
Phone (803) 771-9990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000345 SC Part B Supplier - Clinic/Group Practice 1456493451 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

5209 Forest Dr
Ste C
Columbia, SC 29206
Phone (803) 771-9990

2711 Middleburg Dr
Ste 303
Columbia, SC 29204
Phone (803) 771-9990

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1699786509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 FOREST DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065422",
            "telephone_number": "803-771-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 FOREST DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065422",
            "telephone_number": "803-771-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "803-771-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.