Organization Active NPI

Wardlow Chiropractic Enterprise, PLLC

  • Chiropractor
  • Ronceverte, WV
National Provider Identifier
1235527888
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Dec 2, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.