Mountaineer Chiropractic, P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

664 Issued in WV

Legal business name

MOUNTAINEER CHIROPRACTIC, P.L.L.C.

Doing business as

Mountaineer Chiropractic

Practice address

2108 Camden Ave
Suite D
Parkersburg, WV 26101-5672

Phone

(304) 422-9600

Fax

(304) 422-9603

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Boles Wells, D.C.NPI 1861444622

Title

Manager / Owner

Phone

(304) 422-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mountaineer Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Boles Wells, DC

  • Chiropractor
  • Parkersburg, WV
  • NPI 1861444622
  Medicare reassignment Authorized official
• Byron R Folwell, DC

  • Chiropractor
  • Parkersburg, WV
  • NPI 1780785733
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1316157092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CAMDEN AVE",
            "address_2": "SUITE D",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015672",
            "telephone_number": "304-422-9600",
            "fax_number": "304-422-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 CAMDEN AVE",
            "address_2": "SUITE D",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015672",
            "telephone_number": "304-422-9600",
            "fax_number": "304-422-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER CHIROPRACTIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BOLES",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "304-422-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132314000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "001710889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountaineer Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cassie Jo Mounts, PHARM.D.
• Faith Mounts
• Lisa Lynn Mourat, PHARMD
• Rebecca Ann Mowery

• Chiropractor in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.