Stephen R Thaxton, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

554 Issued in WV

Practice address

7717 Sissonville Dr
Sissonville, WV 25320-9522

Phone

(304) 988-1922

Fax

(304) 988-0130

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Worldwide Chiropractic & Sports Medicine Inc

  • Medical Specialty Clinic/Center
  • Sissonville, WV
  • NPI 1225210172

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1043429178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 SISSONVILLE DR",
            "city": "SISSONVILLE",
            "state": "WV",
            "postal_code": "253209522",
            "telephone_number": "304-988-1922",
            "fax_number": "304-988-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 SISSONVILLE DR",
            "city": "SISSONVILLE",
            "state": "WV",
            "postal_code": "253209522",
            "telephone_number": "304-988-1922",
            "fax_number": "304-988-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "WV",
            "license": "554",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WV",
            "license": "554",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WV",
            "license": "554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE",
            "identifier": "0010707548",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013224900",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Smith, COTA/L
• Jeanie Lou Smith, COTA
• Tammy Clark Snyder, PTA
• Courtney Ann Stark
• Barbara C Teel
• Lucindia Ann Toon, P.T.
• Traci Augusta Turley, OTR
• Philip Andrew Vicini, D.D.S.
• Megan Jamie Wadsworth, COTA/L
• Faye Williamson, PA-C

• All providers in Sissonville, WV
• Rehabilitation Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.