Active NPI
Priem Chiropractic and Physical Therapy Inc
- Chiropractor
- New Martinsville, WV
National Provider Identifier
1194948968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 656
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005053 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI 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.