NPIMap

Organization Active NPI

Wise Chiropractic and Wellness, LLC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1932330107
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2549 Issued in SC
Legal business name
WISE CHIROPRACTIC AND WELLNESS, LLC
Practice address
1400 Fernwood Glendale Rd
Spartanburg, SC 29307-3043
Phone
(864) 585-5558
Fax
(864) 585-9888
NPI assigned
Aug 5, 2009
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Nicholas Alexander Wise, D.C.NPI 1194784140
Title
Doctor
Phone
(864) 585-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2549 SC Primary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 3484 SC

Addresses

Primary practice location

1400 Fernwood Glendale Rd
Spartanburg, SC 29307-3043

Mailing address

1400 Fernwood Glendale Rd
Spartanburg, SC 29307-3043
Phone (864) 585-5558

Other identifiers 1

IdentifierTypeStateIssuer
2549MedicaidSC

National Provider Directory

National Provider Directory

Locations

1400 Fernwood Glendale Rd
Spartanburg, SC 29307
Phone (864) 585-5558

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1932330107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FERNWOOD GLENDALE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073043",
            "telephone_number": "864-585-5558",
            "fax_number": "864-585-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FERNWOOD GLENDALE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073043",
            "telephone_number": "864-585-5558",
            "fax_number": "864-585-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-585-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2549",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "3484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.