Eddy Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

575 Issued in WV

Legal business name

EDDY CHIROPRACTIC CLINIC INC

Practice address

443 Highland Ave
Williamstown, WV 26187-1247

Phone

(304) 375-6000

Fax

(304) 375-6043

NPI assigned

Jul 5, 2006

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lee Eddy, DCNPI 1689675977

Title

Doctor / Owner

Phone

(304) 375-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 4

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.

• Steven Lee Eddy, DC

  • Chiropractor
  • Williamstown, WV
  • NPI 1689675977
  Medicare reassignment Care Compare group NPD Authorized official
• Brantley D Guckert, DC

  • Chiropractor
  • Williamstown, WV
  • NPI 1437025905
  Medicare reassignment Care Compare group NPD
• Bradley David George, DC

  • Chiropractor
  • Ripley, WV
  • NPI 1700951514
  NPD (past)
• Jarred Ryan Colegrove, DC

  • Chiropractor
  • Gainesville, GA
  • NPI 1912908286
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1760413454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 HIGHLAND AVE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261871247",
            "telephone_number": "304-375-6000",
            "fax_number": "304-375-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HIGHLAND AVE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261871247",
            "telephone_number": "304-375-6000",
            "fax_number": "304-375-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "304-375-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2299178",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001711240",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Dinardo
• Rebekah Dinger
• Casey Dixon
• Michael Dodd
• Angela Marie Ebert
• Jeffrey Davis Eddy, RPH
• Steven Lee Eddy, DC
• Timinia Jaquell Edwards
• Bethany Elio, PHARMD
• Alex Engle

• Chiropractor in Williamstown, WV
• Providers in Williamstown, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.