Organization Active NPI

Priem Chiropractic and Physical Therapy Inc

  • Chiropractor
  • New Martinsville, WV
National Provider Identifier
1194948968
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
656 Issued in WV
Legal business name
PRIEM CHIROPRACTIC AND PHYSICAL THERAPY INC
Practice address
661 Third St
New Martinsville, WV 26155-1401
Phone
(304) 455-6824
Fax
(304) 455-6825
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dr. Edward James Priem, DC PT DPT
Title
President
Phone
(304) 455-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 656 WV Primary

Addresses

Primary practice location

661 Third St
New Martinsville, WV 26155-1401

Mailing address

661 Third St
New Martinsville, WV 26155-1401
Phone (304) 455-6824

Other identifiers 1

IdentifierTypeStateIssuer
3810005053MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1194948968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 THIRD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551401",
            "telephone_number": "304-455-6824",
            "fax_number": "304-455-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 THIRD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551401",
            "telephone_number": "304-455-6824",
            "fax_number": "304-455-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIEM CHIROPRACTIC AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PRIEM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-455-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC PT DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005053",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.