Active NPI
Roger Jack Harris Jr., D.C.
- Chiropractor
- Barboursville, WV
National Provider Identifier
1003855669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 722
- Practice address
- 6430 US Route 60 E
Barboursville, WV 25504-1240 - Phone
- (304) 736-4111
- Fax
- (304) 736-0334
- NPI assigned
- Jun 6, 2006
- 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 | 722 | WV | Primary |
Addresses
Primary practice location
6430 US Route 60 E
Barboursville, WV 25504-1240
Mailing address
6430 US Route 60 E
Barboursville, WV 25504-1240
Phone (304) 736-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600098000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Carlton & Harris Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
6430 US Route 60 E
Barboursville, WV 25504
Phone (304) 736-0334
3246 US Route 60
Ste 9
Huntington, WV 25705
Interoperability endpoints
- rharris@dc0010.direct.chirotouch.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Barboursville, WV
- NPI 1619064383
-
- Chiropractor
- Barboursville, WV
- NPI 1821173493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1003855669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 US ROUTE 60 E",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041240",
"telephone_number": "304-736-4111",
"fax_number": "304-736-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 US ROUTE 60 E",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041240",
"telephone_number": "304-736-4111",
"fax_number": "304-736-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROGER",
"middle_name": "JACK",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7600098000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.