Organization Active NPI

Russell L Jones D C Chiropractic Corporation

  • Chiropractor
  • Dunbar, WV
National Provider Identifier
1598866857
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
561 Issued in WV
Legal business name
RUSSELL L JONES D C CHIROPRACTIC CORPORATION
Practice address
100 Westmoreland Office Park
Dunbar, WV 25064-2725
Phone
(304) 768-5068
Fax
(304) 768-6251
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Teresa Withrow
Title
Office Manager
Phone
(304) 768-5068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 561 WV Primary

Addresses

Primary practice location

100 Westmoreland Office Park
Dunbar, WV 25064-2725

Mailing address

100 Westmoreland Office Park
Dunbar, WV 25064-2725
Phone (304) 768-5068

Other identifiers 6

IdentifierTypeStateIssuer
1023091238OtherWVR L JONES NPI
3810017569MedicaidWV
1073797379OtherWVNPI
2203045000MedicaidWV
0131699000MedicaidWV
1073596284OtherWVJ S MORRIS NPI

Other names 1

  • SMITH & JONES CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000996 WV Part B Supplier - Clinic/Group Practice 0648295089 Receives reassigned benefits from 4 practitioners
Practice locations: Dunbar, WV

National Provider Directory

National Provider Directory

Locations

100 Westmoreland Office Park
Dunbar, WV 25064
Phone (304) 768-5068

Practitioners & affiliated clinicians

Practitioners 7

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1598866857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTMORELAND OFFICE PARK",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642725",
            "telephone_number": "304-768-5068",
            "fax_number": "304-768-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTMORELAND OFFICE PARK",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642725",
            "telephone_number": "304-768-5068",
            "fax_number": "304-768-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L JONES D C CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-768-5068"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R L JONES  NPI",
            "identifier": "1023091238",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017569",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073797379",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203045000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131699000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J S MORRIS   NPI",
            "identifier": "1073596284",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH & JONES CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.

Verify at the official NPI Registry.