Organization Active NPI

Midland Chiropractic and Wellness

  • Chiropractor
  • Milton, WV
National Provider Identifier
1013415629
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
984 Issued in WV
Legal business name
MIDLAND CHIROPRACTIC AND WELLNESS
Practice address
332 E Main St
Milton, WV 25541-1508
Phone
(304) 948-5979
Fax
(681) 233-0001
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Matthew Lane Harbour, DC
Title
Owner
Phone
(304) 948-5979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 984 WV Primary

Addresses

Primary practice location

332 E Main St
Milton, WV 25541-1508

Mailing address

332 E Main St
Milton, WV 25541-1508

National Provider Directory

National Provider Directory

Locations

15730 US Route 60
Milton, WV 25541
Phone (304) 743-1261

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1013415629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411508",
            "fax_number": "681-233-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411508",
            "telephone_number": "304-948-5979",
            "fax_number": "681-233-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-948-5979",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.