Individual provider Active NPI

Joseph B Marinacci, D.C.

  • Chiropractor
  • Hurricane, WV
National Provider Identifier
1093797409
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
822 Issued in WV
Practice address
3 Station Place
Hurricane, WV 25526-9480
Phone
(304) 757-7266
Fax
(304) 757-9865
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 822 WV Primary

Addresses

Primary practice location

3 Station Place
Hurricane, WV 25526-9480

Mailing address

3 Station Place
Hurricane, WV 25526-6579
Phone (304) 757-7266

Other identifiers 1

IdentifierTypeStateIssuer
3810004081MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000976 WV Practitioner - Chiropractic 9931124377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Station PL
Hurricane, WV 25526-6579
Phone (304) 757-7266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
822WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Teays Valley Chiropractic PLLC Chiropractor CurrentSince Oct 3, 2005 Accepting new patients
Core Health Centers of Teays Valley LLC Chiropractor PastSince Apr 1, 2021 Accepting new patients
Russell L Jones D C Chiropractic Corporation Chiropractor PastSince Jan 2, 2001 Accepting new patients

Locations

3 Station Pl
Hurricane, WV 25526
Phone (304) 757-7266

3857 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 519-9270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1093797409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STATION PLACE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255266579",
            "telephone_number": "304-757-7266",
            "fax_number": "304-757-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STATION PLACE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269480",
            "telephone_number": "304-757-7266",
            "fax_number": "304-757-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINACCI",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004081",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.