Individual provider Active NPI

Stephen Dwight Herto, DC

  • Chiropractor
  • Kingwood, WV
National Provider Identifier
1023177136
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Sep 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV560 Issued in WV
Practice address
425 E Main St Ste 418
Kingwood, WV 26537-1793
Phone
(304) 329-1000
Fax
(304) 329-1001
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WV560 WV Primary

Addresses

Primary practice location

425 E Main St Ste 418
Kingwood, WV 26537-1793

Mailing address

425 E Main St Ste 418
Kingwood, WV 26537-1793
Phone (304) 329-1000

Other identifiers 2

IdentifierTypeStateIssuer
DE6144OtherWVMCR - RAILROAD
3810001430MedicaidWV

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
WV560WVMDChiropractor
560WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Every Bodys Chiropractic PLLC Chiropractor PastSince Mar 29, 1991 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023177136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 418",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371793",
            "telephone_number": "304-329-1000",
            "fax_number": "304-329-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 418",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371793",
            "telephone_number": "304-329-1000",
            "fax_number": "304-329-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTO",
        "first_name": "STEPHEN",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR - RAILROAD",
            "identifier": "DE6144",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001430",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

Verify at the official NPI Registry.