NPIMap

Organization Active NPI

Ermel F Harris Jr DC Dba Grand Central Chiropractic Center

  • Chiropractor
  • Vienna, WV
National Provider Identifier
1558534032
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
226 Issued in WV
Legal business name
ERMEL F HARRIS JR DC DBA GRAND CENTRAL CHIROPRACTIC CENTER
Practice address
1100 9TH St
Unit G
Vienna, WV 26105-2176
Phone
(304) 295-4589
Fax
(304) 295-6676
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Dr. Ermel Fleming Harris Jr., D.C.NPI 1841297306
Title
Doctor of Chiropractic/Owner
Phone
(304) 295-4589

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 226 WV Primary

Addresses

Primary practice location

1100 9TH St
Unit G
Vienna, WV 26105-2176

Mailing address

1100 9TH St
Unit G
Vienna, WV 26105-2176
Phone (304) 295-4589

Other identifiers 3

IdentifierTypeStateIssuer
0131404000MedicaidWV
00000172842OtherWVANTHEM
001711327OtherWVMOUNTAIN STATE BCBS

National Provider Directory

National Provider Directory

Locations

1100 9th St
Ste G
Vienna, WV 26105
Phone (304) 295-4589

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1558534032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH ST",
            "address_2": "UNIT G",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052176",
            "telephone_number": "304-295-4589",
            "fax_number": "304-295-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH ST",
            "address_2": "UNIT G",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052176",
            "telephone_number": "304-295-4589",
            "fax_number": "304-295-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERMEL F HARRIS JR DC DBA GRAND CENTRAL CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERMEL",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "304-295-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131404000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000172842",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001711327",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.