Active NPI
Wardlow Chiropractic Enterprise, PLLC
- Chiropractor
- Ronceverte, WV
National Provider Identifier
1235527888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WARDLOW CHIROPRACTIC ENTERPRISE, PLLC
- Practice address
- 8747 Seneca TRL S
Ronceverte, WV 24970-8387 - Phone
- (304) 645-6524
- Fax
- (304) 645-6524
- NPI assigned
- Jan 6, 2015
- 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
- Vincent E. Wardlow, DC
- Title
- Chiropractor/Owner
- Phone
- (304) 645-6524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WV | Primary |
Addresses
Primary practice location
8747 Seneca TRL S
Ronceverte, WV 24970-8387
Mailing address
8747 Seneca TRL S
Ronceverte, WV 24970-8387
Phone (304) 645-6524
Other names 1
- Fairlea Chiropractic Clinic
National Provider Directory
National Provider DirectoryLocations
8747 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 520-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ronceverte, WV
- NPI 1881814994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480636800000",
"number": "1235527888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8747 SENECA TRL S",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249708387",
"telephone_number": "304-645-6524",
"fax_number": "304-645-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8747 SENECA TRL S",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249708387",
"telephone_number": "304-645-6524",
"fax_number": "304-645-6524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARDLOW CHIROPRACTIC ENTERPRISE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2016-12-02",
"status": "A",
"authorized_official_last_name": "WARDLOW",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "304-645-6524",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairlea Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.