Active NPI
Jonas Layne Phares, D.C.
- Chiropractor
- Buckhannon, WV
National Provider Identifier
1053735118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 952
- Practice address
- RT 20 Professional Arts Plaza Dr
Buckhannon, WV 26201 - Phone
- (304) 472-6393
- NPI assigned
- Feb 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 952 | WV | Primary |
Addresses
Primary practice location
RT 20 Professional Arts Plaza Dr
Buckhannon, WV 26201
Mailing address
9302 Chateau Dr
Fairmont, WV 26554-7468
Phone (304) 481-5714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952 | WV | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1053735118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9302 CHATEAU DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265547468",
"telephone_number": "304-481-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 20 PROFESSIONAL ARTS PLAZA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "26201",
"telephone_number": "304-472-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARES",
"first_name": "JONAS",
"middle_name": "LAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.