NPIMap

Organization Active NPI

Jack Ricci DC PLLC

  • Chiropractor
  • Moorefield, WV
National Provider Identifier
1447529078
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
892 Issued in WV
Legal business name
JACK RICCI DC PLLC
Practice address
141 Water Street Dr
Moorefield, WV 26836-1058
Phone
(304) 538-2559
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Jack Ricci, DC
Title
Owner
Phone
(304) 538-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 892 WV Primary

Addresses

Primary practice location

141 Water Street Dr
Moorefield, WV 26836-1058

Mailing address

141 Water Street Dr
Moorefield, WV 26836-1058
Phone (304) 538-2559

National Provider Directory

National Provider Directory

Locations

141 Water Street Dr
Moorefield, WV 26836
Phone (304) 298-4404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1447529078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WATER STREET DR",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361058",
            "telephone_number": "304-538-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WATER STREET DR",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361058",
            "telephone_number": "304-538-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK RICCI DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-538-2559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.