Active NPI
Douglas Macpherson, D.C.
- Chiropractor
- Weirton, WV
National Provider Identifier
1467449496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 302
- Practice address
- 2423 Pennsylvania Ave
Weirton, WV 26062-3632 - Phone
- (304) 723-5340
- Fax
- (304) 723-0438
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 302 | WV | Primary |
Addresses
Primary practice location
2423 Pennsylvania Ave
Weirton, WV 26062-3632
Mailing address
PO Box 2367
Weirton, WV 26062-1567
Phone (304) 723-5340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495889 | Medicaid | OH | |
| 0132374000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061117000376 | WV | Practitioner - Chiropractic | 7719985266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1467449496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2367",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260621567",
"telephone_number": "304-723-5340",
"fax_number": "304-723-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623632",
"telephone_number": "304-723-5340",
"fax_number": "304-723-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACPHERSON",
"first_name": "DOUGLAS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495889",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132374000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.