NPIMap

Organization Active NPI

Teays Valley Chiropractic PLLC

  • Chiropractor
  • Hurricane, WV
National Provider Identifier
1306884762
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
822 Issued in WV
Legal business name
TEAYS VALLEY CHIROPRACTIC PLLC
Practice address
3 Station Place
Hurricane, WV 25526-9480
Phone
(304) 757-7266
Fax
(304) 757-9865
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Dr. Joseph Marinacci, D.C.NPI 1093797409
Title
Owner
Phone
(304) 757-7266

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 436 WV
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 822 WV Primary

Addresses

Primary practice location

3 Station Place
Hurricane, WV 25526-9480

Mailing address

3 Station Place
Hurricane, WV 25526-9480
Phone (304) 757-7266

Other names 1

  • JOSEPH B MARINACCI Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000689 WV Part B Supplier - Clinic/Group Practice 6608947064 Receives reassigned benefits from 1 practitioner
Practice locations: Hurricane, WV

National Provider Directory

National Provider Directory

Locations

3857 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 519-9270

3 Station Pl
Hurricane, WV 25526
Phone (304) 757-7266

Practitioners & affiliated clinicians

Practitioners 6

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1306884762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STATION PLACE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269480",
            "telephone_number": "304-757-7266",
            "fax_number": "304-757-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STATION PLACE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269480",
            "telephone_number": "304-757-7266",
            "fax_number": "304-757-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAYS VALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "MARINACCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-757-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "436",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOSEPH B MARINACCI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JOSEPH B MARINACCI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.