Organization Active NPI

John F. Genovese, D.C., Chiropractic Corporation

  • Chiropractor
  • Martinsburg, WV
National Provider Identifier
1184761025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
435 Issued in WV
Legal business name
JOHN F. GENOVESE, D.C., CHIROPRACTIC CORPORATION
Practice address
305 Medical CT
Martinsburg, WV 25401-2843
Phone
(304) 267-4041
Fax
(304) 267-4010
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Renee Genovese
Title
Business Manager
Phone
(304) 274-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 435 WV Primary

Addresses

Primary practice location

305 Medical CT
Martinsburg, WV 25401-2843

Mailing address

305 Medical CT
Martinsburg, WV 25401-2843
Phone (304) 267-4041

Other identifiers 1

IdentifierTypeStateIssuer
0131351000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184761025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEDICAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012843",
            "telephone_number": "304-267-4041",
            "fax_number": "304-267-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEDICAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012843",
            "telephone_number": "304-267-4041",
            "fax_number": "304-267-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. GENOVESE, D.C., CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENOVESE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "304-274-3411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131351000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.