Active NPI
Michael Joseph Kominsky, D.C.
- Chiropractor
- Beckley, WV
National Provider Identifier
1831262161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 453
- Practice address
- 1007 S Oakwood Ave
Suite 950
Beckley, WV 25801-5935 - Phone
- (304) 253-3489
- Fax
- (304) 253-3148
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 453 | WV | Primary |
Addresses
Primary practice location
1007 S Oakwood Ave
Suite 950
Beckley, WV 25801-5935
Mailing address
1007 S Oakwood Ave
Suite 950
Beckley, WV 25801-5935
Phone (304) 253-3489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000322 | WV | Practitioner - Chiropractic | 1850291642 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Chiropractic & Wellness Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Oak Hill, WV
- NPI 1902016264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831262161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 S OAKWOOD AVE",
"address_2": "SUITE 950",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258015935",
"telephone_number": "304-253-3489",
"fax_number": "304-253-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 S OAKWOOD AVE",
"address_2": "SUITE 950",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258015935",
"telephone_number": "304-253-3489",
"fax_number": "304-253-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMINSKY",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.