Organization Active NPI

Chipley Chiropractic

  • Chiropractor
  • Beckley, WV
National Provider Identifier
1467664599
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
626 Issued in WV
Legal business name
CHIPLEY CHIROPRACTIC
Practice address
409 N Kanawha St
Beckley, WV 25801
Phone
(304) 252-0200
Fax
(304) 252-0256
NPI assigned
May 3, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Julian A Chipley, DCNPI 1689670838
Title
Managing Partner
Phone
(304) 252-0200

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 626 WV Primary
Chiropractor 111N00000X 778 WV
Chiropractor 111N00000X 588 WV
Chiropractor 111N00000X 858 WV

Addresses

Primary practice location

409 N Kanawha St
Beckley, WV 25801

Mailing address

409 N Kanawha St
Beckley, WV 25801
Phone (304) 252-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729000359 WV Part B Supplier - Clinic/Group Practice 2860462595 Receives reassigned benefits from 2 practitioners
Practice locations: Beckley, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2049240Chipley Chiropractic PLLC409 North Kanawha Street, Beckley, WV 25801Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

1034 N Eisenhower Dr
Beckley, WV 25801
Phone (304) 252-5999

107 Keller Ave
Fayetteville, WV 25840
Phone (304) 574-1279

508 Lazenby Ave
Princeton, WV 24740
Phone (304) 487-3820

Practitioners & affiliated clinicians

Practitioners 6

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1467664599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-252-0200",
            "fax_number": "304-252-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-252-0200",
            "fax_number": "304-252-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "CHIPLEY",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "304-252-0200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "626",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "778",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "588",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.