Organization Active NPI

Almost Heaven Family Chiropractic Health Care Center Inc.

  • Chiropractor
  • Fairmont, WV
National Provider Identifier
1780787663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
820 Issued in WV
Legal business name
ALMOST HEAVEN FAMILY CHIROPRACTIC HEALTH CARE CENTER INC.
Practice address
2703 Fairmont Ave
Fairmont, WV 26554-3450
Phone
(304) 367-1131
Fax
(304) 367-1141
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Frank Rundle, D.C.NPI 1700989787
Title
Owner
Phone
(304) 367-1131

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 820 WV Primary

Addresses

Primary practice location

2703 Fairmont Ave
Fairmont, WV 26554-3450

Mailing address

2703 Fairmont Ave
Fairmont, WV 26554-3450
Phone (304) 367-1131

Other identifiers 4

IdentifierTypeStateIssuer
3810002055MedicaidWV
WV00820OtherWVTHE HEALTH PLAN
11430994OtherWVCAQH
4282386OtherWVCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050211000047 WV Part B Supplier - Clinic/Group Practice 0042262628 Receives reassigned benefits from 1 practitioner
Practice locations: White Hall, WV

National Provider Directory

National Provider Directory

Locations

5 Ruby Dr
White Hall, WV 26554
Phone (304) 363-2211

Practitioners & affiliated clinicians

Practitioners 2

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780787663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543450",
            "telephone_number": "304-367-1131",
            "fax_number": "304-367-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543450",
            "telephone_number": "304-367-1131",
            "fax_number": "304-367-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMOST HEAVEN FAMILY CHIROPRACTIC HEALTH CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNDLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-367-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002055",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN",
            "identifier": "WV00820",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11430994",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4282386",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.