Individual provider Active NPI

Donald Keith Hamrick III, DC

  • Chiropractor
  • Fairmont, WV
National Provider Identifier
1346210952
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
815 Issued in WV
Practice address
5 Ruby Dr
Fairmont, WV 26554-8427
Phone
(304) 363-2211
Fax
(304) 363-2212
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 815 WV Primary

Addresses

Primary practice location

5 Ruby Dr
Fairmont, WV 26554-8427

Mailing address

5 Ruby Dr
Fairmont, WV 26554-8427
Phone (304) 363-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000489 WV Practitioner - Chiropractic 5294626321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Ruby Dr
Fairmont, WV 26554-8427
Phone (304) 363-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamrick Specific Chiropractic Chiropractor CurrentSince Nov 1, 2005 Accepting new patients
Simmons Specific Chiropractic P C Chiropractor Past Accepting new patients
Almost Heaven Family Chiropractic Health Care Center Inc. Chiropractor PastSince Mar 1, 2005 Accepting new patients

Locations

5 Ruby Dr
White Hall, WV 26554
Phone (304) 363-2211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1346210952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUBY DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548427",
            "telephone_number": "304-363-2211",
            "fax_number": "304-363-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RUBY DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548427",
            "telephone_number": "304-363-2211",
            "fax_number": "304-363-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "DONALD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.