Active NPI
Evans Chiropractic PLLC
- Chiropractor
- Beckley, WV
National Provider Identifier
1043423254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 469
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M Evans, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131329000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Beckley, WV
- NPI 1033216825
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.