Individual provider Active NPI

Jody Ryan Eastwood, DC

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1295839389
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
844 Issued in WV
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001813057OtherWVBLUE 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.