Vincent Edward Wardlow, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

588 Issued in WV

Practice address

631 Edgar Ave
Ronceverte, WV 24970-1258

Phone

(304) 645-6524

Fax

(304) 645-6527

NPI assigned

Nov 6, 2006

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wardlow Chiropractic Enterprise, PLLC

  dba Fairlea Chiropractic Clinic

  • Chiropractor
  • Ronceverte, WV
  • NPI 1235527888
  Authorized official Same address or phone
• Chipley Chiropractic

  • Chiropractor
  • Beckley, WV
  • NPI 1467664599
  NPD (past)
• Fairlea Chiropratic Clinic

  • Chiropractor
  • Ronceverte, WV
  • NPI 1043383888
  NPD (past)
• Grose Chiropractic Enterprises PLLC

  • Chiropractor
  • Ronceverte, WV
  • NPI 1174123418
  NPD (past)
• Inspire Health

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1366891723
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1144309444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 EDGAR AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701258",
            "telephone_number": "304-645-6524",
            "fax_number": "304-645-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 EDGAR AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701258",
            "telephone_number": "304-645-6524",
            "fax_number": "304-645-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLOW",
        "first_name": "VINCENT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Vess, DO
• Casey Jolene Vest, COTA/L
• Walgreen Co (Walgreens # 17470)
• Charles Walker
• Wardlow Chiropractic Enterprise, PLLC (Fairlea Chiropractic Clinic)
• Brian Weikle
• Jennifer B Weikle
• Sharon Weikle
• West Virginia Drug Testing Laboratories Inc
• Jessica Lynn White, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.