Organization Active NPI

Nardone Chiropractic,North,PLLC

  • Chiropractor
  • Weirton, WV
National Provider Identifier
1659458545
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
765 Issued in WV
Legal business name
NARDONE CHIROPRACTIC,NORTH,PLLC
Practice address
117 B Three Springs Dr
Weirton, WV 26062-3827
Phone
(304) 723-2494
Fax
(304) 723-2301
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mr. Matthew A Nardone, DCNPI 1164417754
Title
Chiropractor
Phone
(304) 723-2494

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 765 WV Primary

Addresses

Primary practice location

117 B Three Springs Dr
Weirton, WV 26062-3827

Mailing address

126 Melinda Dr
Wintersville, OH 43953-4049
Phone (304) 639-9166

Other identifiers 2

IdentifierTypeStateIssuer
2203034000MedicaidWV
1164417754OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000250 WV Part B Supplier - Clinic/Group Practice 7618963794 Receives reassigned benefits from 1 practitioner
Practice locations: Weirton, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1659458545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MELINDA DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534049",
            "telephone_number": "304-639-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 B THREE SPRINGS DR",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623827",
            "telephone_number": "304-723-2494",
            "fax_number": "304-723-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARDONE CHIROPRACTIC,NORTH,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "NARDONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "304-723-2494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203034000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164417754",
            "state": null
        }
    ],
    "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 Apr 20, 2010; 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.