Organization Active NPI

Collet Family Chiropractic Corp

  • Chiropractor
  • Elkins, WV
National Provider Identifier
1255634838
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
790 Issued in WV
Legal business name
COLLET FAMILY CHIROPRACTIC CORP
Practice address
124 Chenoweth Creek Rd
Elkins, WV 26241-9795
Phone
(304) 940-0307
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. Sherri Rene Collett, D.C.NPI 1609828045
Title
Owner
Phone
(304) 940-0307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 790 WV Primary

Addresses

Primary practice location

124 Chenoweth Creek Rd
Elkins, WV 26241-9795

Mailing address

124 Chenoweth Creek Rd
Elkins, WV 26241-9795
Phone (304) 940-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000335 WV Part B Supplier - Clinic/Group Practice 5991981979 Receives reassigned benefits from 1 practitioner
Practice locations: Elkins, WV

National Provider Directory

National Provider Directory

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1255634838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHENOWETH CREEK RD",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419795",
            "telephone_number": "304-940-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CHENOWETH CREEK RD",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419795",
            "telephone_number": "304-940-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLET FAMILY CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-940-0307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.