Active NPI
Anthony D Erwin, DC
- Rehabilitation Chiropractor
- Hurricane, WV
National Provider Identifier
1396749784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 821
- Practice address
- 3551 Teays Valley Rd
Hurricane, WV 25526-9054 - Phone
- (304) 757-7668
- Fax
- (304) 757-9045
- NPI assigned
- Jun 13, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 821 | WV | Primary |
Addresses
Primary practice location
3551 Teays Valley Rd
Hurricane, WV 25526-9054
Mailing address
13 Renard Run
Hurricane, WV 25526-8714
Phone (304) 757-2860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004499 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3551 Teays Valley Rd
Hurricane, WV 25526-9054
Phone (304) 757-7668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 821 | WV | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Rehabilitation Chiropractor
- Hurricane, WV
- NPI 1578646022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396749784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 RENARD RUN",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268714",
"telephone_number": "304-757-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269054",
"telephone_number": "304-757-7668",
"fax_number": "304-757-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWIN",
"first_name": "ANTHONY",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WV",
"license": "821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004499",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.