Dr C E Bickerton DCCC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

241 Issued in WV

Legal business name

DR C E BICKERTON DCCC

Practice address

333 Lincoln St
Grafton, WV 26354-1562

Phone

(304) 265-4200

Fax

(304) 265-4201

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clifford E Bickerton, D.C.

Title

President

Phone

(304) 265-4200

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1760560684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LINCOLN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541562",
            "telephone_number": "304-265-4200",
            "fax_number": "304-265-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LINCOLN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541562",
            "telephone_number": "304-265-4200",
            "fax_number": "304-265-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR C E BICKERTON DCCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "BICKERTON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-265-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316941651",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001719992",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131359000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET VENDOR NO.",
            "identifier": "1022682",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Davis
• Susan Davis
• Lindsey Renee Dawson, PTA, OSC
• Charles Michael Dickey, RPH
• Sean Patrick Doyle, PHARM.D
• Candida Lynn Driscoll
• Paige Drury
• Sharon Duckworth
• Joseph Hugo Duvert, MD
• Betsy M Elswick, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.