Active NPI
Jody Ryan Eastwood, DC
- Chiropractor
- Charleston, WV
National Provider Identifier
1295839389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 844
- Practice address
- 100 Peyton Way
Suite 201
Charleston, WV 25309-8572 - Phone
- (304) 720-2005
- Fax
- (304) 720-2009
- NPI assigned
- Sep 11, 2006
- Last updated
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 844 | WV | Primary |
Addresses
Primary practice location
100 Peyton Way
Suite 201
Charleston, WV 25309-8572
Mailing address
100 Peyton Way
Suite 201
Charleston, WV 25309-8572
Phone (304) 720-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001813057 | Other | WV | BLUE CROSS BLUE SHIELD WV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merritt Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
| Valley Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1295839389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PEYTON WAY",
"address_2": "SUITE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253098572",
"telephone_number": "304-720-2005",
"fax_number": "304-720-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEYTON WAY",
"address_2": "SUITE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253098572",
"telephone_number": "304-720-2005",
"fax_number": "304-720-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTWOOD",
"first_name": "JODY",
"middle_name": "RYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD WV",
"identifier": "001813057",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.