Upstate Spine & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1396 Issued in SC

Legal business name

UPSTATE SPINE & WELLNESS, LLC

Practice address

1389 Brushy Creek Rd
Taylors, SC 29687-4081

Phone

(864) 230-9660

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Lancianese

Title

Sole Member

Phone

(864) 275-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861565244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 OLD SPARTANBURG RD",
            "address_2": "#168",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502704",
            "telephone_number": "864-275-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 BRUSHY CREEK RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874081",
            "telephone_number": "864-230-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SPINE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANCIANESE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-275-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Twitchell, D.M.D.
• Jessica Tysen
• Upper Cervical Spine Center, LLC
• Upstate Integrative Family Therapy, LLC
• Upstate Mobility LLC
• Debora Sue Vanderveer, LMSW
• Johnathan C Vickers, CRT
• Visionworks, Inc.
• Hannah Voyles, M.S., CCC-SLP
• W. G. Laney, D.C., LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.