Organization Active NPI

Evans Chiropractic PLLC

  • Chiropractor
  • Beckley, WV
National Provider Identifier
1043423254
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
469 Issued in WV
Legal business name
EVANS CHIROPRACTIC PLLC
Practice address
403 3Rd Ave
Beckley, WV 25801-5326
Phone
(304) 253-0713
Fax
(304) 253-0727
NPI assigned
May 7, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Robert M Evans, D.C.NPI 1033216825
Title
Doctor ,Owner
Phone
(304) 253-0713

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 469 WV Primary

Addresses

Primary practice location

403 3Rd Ave
Beckley, WV 25801-5326

Mailing address

403 3Rd Ave
Beckley, WV 25801-5326
Phone (304) 253-0713

Other identifiers 1

IdentifierTypeStateIssuer
0131329000MedicaidWV

National Provider Directory

National Provider Directory

Locations

403 3rd Ave
Beckley, WV 25801
Phone (304) 253-0713

Practitioners & affiliated clinicians

Practitioners 1

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1043423254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 3RD AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015326",
            "telephone_number": "304-253-0713",
            "fax_number": "304-253-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 3RD AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015326",
            "telephone_number": "304-253-0713",
            "fax_number": "304-253-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR ,OWNER",
        "authorized_official_telephone_number": "304-253-0713",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131329000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.