Organization Active NPI

Fisher Chiropractic PLLC

  • Chiropractor
  • Saint Albans, WV
National Provider Identifier
1326160466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
784 Issued in WV
Legal business name
FISHER CHIROPRACTIC PLLC
Practice address
142 Maccorkle Ave
St Albans, WV 25177
Phone
(304) 722-3011
Fax
(304) 722-3045
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jody Wayne Fisher, DC
Title
Owner
Phone
(304) 722-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 784 WV Primary

Addresses

Primary practice location

142 Maccorkle Ave
St Albans, WV 25177

Mailing address

142 Maccorkle Ave
St Albans, WV 25177
Phone (304) 722-3011

Other identifiers 2

IdentifierTypeStateIssuer
0007817650OtherAETNA
1067378OtherWV WORKERS COMP

National Provider Directory

National Provider Directory

Locations

142 Maccorkle Ave
Saint Albans, WV 25177
Phone (304) 722-3011

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326160466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MACCORKLE AVE",
            "city": "ST ALBANS",
            "state": "WV",
            "postal_code": "25177",
            "telephone_number": "304-722-3011",
            "fax_number": "304-722-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MACCORKLE AVE",
            "city": "ST ALBANS",
            "state": "WV",
            "postal_code": "25177",
            "telephone_number": "304-722-3011",
            "fax_number": "304-722-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-722-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007817650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "1067378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.