Organization Active NPI

Jones Chiropractic Clinic

  • Chiropractor
  • Elkins, WV
National Provider Identifier
1306898333
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
424 Issued in WV
Legal business name
JONES CHIROPRACTIC CLINIC
Practice address
15 Randolph Ave
Elkins, WV 26241-4011
Phone
(304) 636-3570
Fax
(304) 636-6646
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Edward Morgan Jones, D.C.NPI 1053363713
Title
Owner
Phone
(304) 636-3570

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 424 WV Primary

Addresses

Primary practice location

15 Randolph Ave
Elkins, WV 26241-4011

Mailing address

15 Randolph Ave
Elkins, WV 26241-4011
Phone (304) 636-3570

Other identifiers 2

IdentifierTypeStateIssuer
1025179OtherWVWV WORKERS' COMPENSATION
001710212OtherWVBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525000109 WV Part B Supplier - Clinic/Group Practice 6709867021 Receives reassigned benefits from 1 practitioner
Practice locations: Elkins, WV

National Provider Directory

National Provider Directory

Locations

15 Randolph Ave
Elkins, WV 26241
Phone (304) 636-3570

Practitioners & affiliated clinicians

Practitioners 2

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1306898333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414011",
            "telephone_number": "304-636-3570",
            "fax_number": "304-636-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414011",
            "telephone_number": "304-636-3570",
            "fax_number": "304-636-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-636-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS' COMPENSATION",
            "identifier": "1025179",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710212",
            "state": "WV"
        }
    ],
    "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 Sep 21, 2012; 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.