Organization Active NPI

Spine Associates, PLLC

  • Chiropractor
  • Moorefield, WV
National Provider Identifier
1023265402
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2212-2933 Issued in WV
Legal business name
SPINE ASSOCIATES, PLLC
Practice address
712 N Main St Ste 203
Moorefield, WV 26836-1092
Phone
(304) 530-7246
Fax
(304) 530-7247
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Jack Ricci, D.C.
Title
Owner
Phone
(304) 530-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2212-2933 WV Primary

Addresses

Primary practice location

712 N Main St Ste 203
Moorefield, WV 26836-1092

Mailing address

712 N Main St Ste 203
Moorefield, WV 26836-1092
Phone (304) 530-7246

National Provider Directory

National Provider Directory

Locations

712 N Main St
Ste 203
Moorefield, WV 26836
Phone (304) 530-5599

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1023265402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N MAIN ST STE 203",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361092",
            "telephone_number": "304-530-7246",
            "fax_number": "304-530-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N MAIN ST STE 203",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361092",
            "telephone_number": "304-530-7246",
            "fax_number": "304-530-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-530-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "2212-2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.