Organization Active NPI

Charleston Chiropractic Company PLLC

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1194147330
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
944 Issued in WV
Legal business name
CHARLESTON CHIROPRACTIC COMPANY PLLC
Practice address
713 Bigley Ave
Charleston, WV 25302-3356
Phone
(304) 344-2225
Fax
(304) 344-2226
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Jennifer Bulger, DCNPI 1013210327
Title
Owner/Chiropractor
Phone
(304) 344-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 944 WV Primary

Addresses

Primary practice location

713 Bigley Ave
Charleston, WV 25302-3356

Mailing address

713 Bigley Ave
Charleston, WV 25302-3356
Phone (304) 344-2225

Other names 1

  • Charleston Chiropractic Company Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625001619 WV Part B Supplier - Clinic/Group Practice 2062637580 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1194147330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023356",
            "telephone_number": "304-344-2225",
            "fax_number": "304-344-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023356",
            "telephone_number": "304-344-2225",
            "fax_number": "304-344-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON CHIROPRACTIC COMPANY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "304-344-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Chiropractic Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.