Individual provider Active NPI

Roger Allan Kritzer, DC

  • Chiropractor
  • Fairmont, WV
National Provider Identifier
1285611343
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
281 Issued in WV
Practice address
220 Virginia Ave
Fairmont, WV 26554-2885
Phone
(304) 363-4134
Fax
(304) 333-2054
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 281 WV Primary

Addresses

Primary practice location

220 Virginia Ave
Fairmont, WV 26554-2885

Mailing address

1815 Ridgewood Dr
Fairmont, WV 26554-8306
Phone (304) 367-1993

Other identifiers 1

IdentifierTypeStateIssuer
0132362000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David a Bannister Jr Chiropractor PastSince Nov 9, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1285611343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 RIDGEWOOD DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548306",
            "telephone_number": "304-367-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542885",
            "telephone_number": "304-363-4134",
            "fax_number": "304-333-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZER",
        "first_name": "ROGER",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132362000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.