Active NPI
William Allen Wentworth Jr., D.C.
- Chiropractor
- Greenville, SC
National Provider Identifier
1902010200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2218
- Practice address
- 225 Halton Road Suite a
Greenville, SC 29607 - Phone
- (864) 286-0660
- Fax
- (864) 286-0616
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2218 | SC | Primary |
Addresses
Primary practice location
225 Halton Road Suite a
Greenville, SC 29607
Mailing address
225 Halton Road Suite a
Greenville, SC 29607
Phone (864) 286-0660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2218 | Other | SC | STATE SC LICENSE |
| 25820 | Other | SC | CALIFORNIA LICENSE |
| CH7257 | Other | FL | FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902010200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HALTON ROAD SUITE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-286-0660",
"fax_number": "864-286-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HALTON ROAD SUITE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-286-0660",
"fax_number": "864-286-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "WILLIAM",
"middle_name": "ALLEN",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE SC LICENSE",
"identifier": "2218",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "25820",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "CH7257",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.