NPIMap

Organization Active NPI

Imprimis Chiropractic PLLC

  • Chiropractor
  • Horner, WV
National Provider Identifier
1740453364
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
780 Issued in WV
Legal business name
IMPRIMIS CHIROPRACTIC PLLC
Practice address
2828 Old Route 33
Horner, WV 26372-9705
Phone
(304) 517-1355
Fax
(304) 517-1356
NPI assigned
Apr 3, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Paul Joseph Wilson, D.C.NPI 1073782140
Title
Owner
Phone
(304) 517-1355

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
Chiropractor 111N00000X 780 WV Primary

Addresses

Primary practice location

2828 Old Route 33
Horner, WV 26372-9705

Mailing address

PO Box 215
Horner, WV 26372-0215
Phone (304) 517-1355

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, 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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1740453364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HORNER",
            "state": "WV",
            "postal_code": "263720215",
            "telephone_number": "304-517-1355",
            "fax_number": "304-517-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 OLD ROUTE 33",
            "city": "HORNER",
            "state": "WV",
            "postal_code": "263729705",
            "telephone_number": "304-517-1355",
            "fax_number": "304-517-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRIMIS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-517-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horner, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.