Ceredo Chiropractic & Integrated Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CEREDO CHIROPRACTIC & INTEGRATED WELLNESS PLLC

Practice address

420 W 4TH St Ste 10a
Ceredo, WV 25507-2125

Phone

(657) 640-9199

NPI assigned

Jul 13, 2026

Organization subpart

No

Name

Dr. John Samuel Fry, DCNPI 1841233806

Title

President

Phone

(304) 544-2239

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

• John Samuel Fry, D.C.

  • Chiropractor
  • Ceredo, WV
  • NPI 1841233806
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1336068527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255071208",
            "telephone_number": "657-640-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 4TH ST STE 10A",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255072125",
            "telephone_number": "657-640-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREDO CHIROPRACTIC & INTEGRATED WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-544-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Allen
• Kimberly June Bailey
• William Craig Bowen, D.D.S.
• Ceredo Volunteer Fire Department Inc
• Lela Crager
• Olyvia Daniels
• Rinda June Duncan
• Courtney Marie Ewing, RN,BSN

• All providers in Ceredo, WV
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.