Organization Active NPI

SC Lowcountry Chiropractic LLC

  • Chiropractor
  • Beaufort, SC
National Provider Identifier
1750091088
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SC LOWCOUNTRY CHIROPRACTIC LLC
Practice address
2121 Boundary St Ste 205
Beaufort, SC 29902-6815
Phone
(843) 252-0540
Fax
(843) 321-8697
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Wade Verch, DCNPI 1134575897
Title
Owner
Phone
(386) 314-1936

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2121 Boundary St Ste 205
Beaufort, SC 29902-6815

Mailing address

1112 Calhoun St
Newberry, SC 29108-3445
Phone (386) 314-1936

Other names 1

  • Carolina West Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323000924 SC Part B Supplier - Clinic/Group Practice 9931573474 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1750091088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CALHOUN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083445",
            "telephone_number": "386-314-1936",
            "fax_number": "843-321-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BOUNDARY ST STE 205",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026815",
            "telephone_number": "843-252-0540",
            "fax_number": "843-321-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC LOWCOUNTRY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "VERCH",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-314-1936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina West Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.