Organization Active NPI

Valley Chiropractic PLLC

  • Chiropractor
  • Scott Depot, WV
National Provider Identifier
1790085488
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VALLEY CHIROPRACTIC PLLC
Practice address
100 Erskine LN
Ste B
Scott Depot, WV 25560-9751
Phone
(304) 965-2458
Fax
(304) 965-2258
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Anthony Scott Collias, DCNPI 1659477248
Title
Co-Owner
Phone
(304) 965-2458

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 Primary

Addresses

Primary practice location

100 Erskine LN
Ste B
Scott Depot, WV 25560-9751

Mailing address

4710 Chimney Dr
Ste H
Charleston, WV 25302-4843
Phone (304) 965-2458

National Provider Directory

National Provider Directory

Locations

100 Erskine LN B
Scott Depot, WV 25560
Phone (304) 757-7246

100 Erskine LN
Ste B
Scott Depot, WV 25560
Phone (304) 757-7246

Practitioners & affiliated clinicians

Practitioners 5

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": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1790085488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CHIMNEY DR",
            "address_2": "STE H",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024843",
            "telephone_number": "304-965-2458",
            "fax_number": "304-965-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ERSKINE LN",
            "address_2": "STE B",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609751",
            "telephone_number": "304-965-2458",
            "fax_number": "304-965-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "COLLIAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "304-965-2458",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.