NPIMap

Organization Active NPI

Cross Trainers Chiropractic and Wellness Center

  • Chiropractor
  • Terra Alta, WV
National Provider Identifier
1255631404
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
690 Issued in WV
Legal business name
CROSS TRAINERS CHIROPRACTIC AND WELLNESS CENTER
Practice address
31454 Veterans Memorial Hwy
Terra Alta, WV 26764-0000
Phone
(304) 789-3153
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Brad Friend, D.C.
Title
Owner/Chiropractic Physician
Phone
(304) 789-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 690 WV Primary

Addresses

Primary practice location

31454 Veterans Memorial Hwy
Terra Alta, WV 26764-0000

Mailing address

31454 Veterans Memorial Hwy
Terra Alta, WV 26764-0000
Phone (304) 789-3153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1255631404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31454 VETERANS MEMORIAL HWY",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267640000",
            "telephone_number": "304-789-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31454 VETERANS MEMORIAL HWY",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267640000",
            "telephone_number": "304-789-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TRAINERS CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "304-789-3153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terra Alta, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.