Organization Active NPI

Folwell Chiropractic Clinic, Inc.

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1386894855
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
510 Issued in WV
Legal business name
FOLWELL CHIROPRACTIC CLINIC, INC.
Practice address
3211 Emerson Ave
Parkersburg, WV 26104-1715
Phone
(304) 485-9124
Fax
(304) 485-9127
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Byron R Folwell, DCNPI 1780785733
Title
Doctor of Chiropractic
Phone
(304) 485-9124

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 510 WV Primary

Addresses

Primary practice location

3211 Emerson Ave
Parkersburg, WV 26104-1715

Mailing address

3211 Emerson Ave
Parkersburg, WV 26104-1715
Phone (304) 485-9124

Other identifiers 1

IdentifierTypeStateIssuer
0131769000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000115 WV Part B Supplier - Clinic/Group Practice 3577630177 Receives reassigned benefits from 1 practitioner
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

3211 Emerson Ave
Parkersburg, WV 26104
Phone (304) 422-9600

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": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1386894855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041715",
            "telephone_number": "304-485-9124",
            "fax_number": "304-485-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041715",
            "telephone_number": "304-485-9124",
            "fax_number": "304-485-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLWELL CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "FOLWELL",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "304-485-9124",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131769000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.