Active NPI
Ermel Fleming Harris Jr., D.C.
- Chiropractor
- Vienna, WV
National Provider Identifier
1841297306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 226
- Practice address
- 1100 9TH St
Ste G
Vienna, WV 26105-2176 - Phone
- (304) 295-4589
- Fax
- (304) 295-6676
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 226 | WV | Primary |
Addresses
Primary practice location
1100 9TH St
Ste G
Vienna, WV 26105-2176
Mailing address
1100 9TH St
Ste G
Vienna, WV 26105-2176
Phone (304) 295-4589
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409013681 | Other | WV | RAILROAD MEDICARE |
| 55607886000 | Other | WV | WORKERS COMPENSATION |
| 0354067 | Other | OH | MEDICAID |
| 0131404000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ermel F Harris Jr DC Dba Grand Central Chiropractic 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
- Vienna, WV
- NPI 1558534032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1841297306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH ST",
"address_2": "STE G",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052176",
"telephone_number": "304-295-4589",
"fax_number": "304-295-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH ST",
"address_2": "STE G",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052176",
"telephone_number": "304-295-4589",
"fax_number": "304-295-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ERMEL",
"middle_name": "FLEMING",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "409013681",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "55607886000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "0354067",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131404000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.