Chapmanville Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

861 Issued in WV

Legal business name

CHAPMANVILLE FAMILY CHIROPRACTIC

Practice address

612 Main St
Chapmanville, WV 25508

Phone

(304) 855-4529

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

David Deraimo, DCNPI 1902948722

Title

Owner

Phone

(304) 855-4529

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Deraimo, DC

  • Chiropractor
  • Chapmanville, WV
  • NPI 1902948722
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1063634749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4357",
            "city": "CHPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPMANVILLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "DERAIMO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-855-4529",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9267096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1071821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka Faith Carr
• Lara Jo Carr
• Christie Lynn Carter
• Hope Chaney
• Chapmanville Chiropractic
• Chapmanville Medical Center, Inc
• Chapmanville Pharmacy Inc
• Chapmanville Primary Care Clinic
• Chapmanville Primary Care Clinic
• Amber M Clay, LPC

• Chiropractor in Chapmanville, WV
• Providers in Chapmanville, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.