Individual provider Active NPI

Cliff Daniel Hill, DC

  • Chiropractor
  • Madison, WV
National Provider Identifier
1811929987
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
773 Issued in WV
Practice address
467 Main St
Madison, WV 25130-1223
Phone
(304) 369-9500
Fax
(304) 369-7989
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 773 WV Primary

Addresses

Primary practice location

467 Main St
Madison, WV 25130-1223

Mailing address

467 Main St
Madison, WV 25130-1223
Phone (304) 369-9500

Other identifiers 1

IdentifierTypeStateIssuer
2202031000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001687 WV Practitioner - Chiropractic 2264324292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
773WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Chiropractic Center, Inc Chiropractor CurrentSince Mar 1, 2006 Accepting new patients
Hill Chiropractic Center, Inc Chiropractor CurrentSince Mar 1, 2006 Accepting new patients

Locations

101 Lb and T Way
Logan, WV 25601
Phone (304) 369-9500

63B Water St
Logan, WV 25601
Phone (304) 752-2212

467 Main St
Ste 101
Madison, WV 25130
Phone (304) 369-9500

467 Main St
Madison, WV 25130
Phone (304) 369-7876

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1811929987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-9500",
            "fax_number": "304-369-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-9500",
            "fax_number": "304-369-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CLIFF",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202031000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.