Active NPI
Lattimer Chiropractic Clinic
- Chiropractor
- Buckhannon, WV
National Provider Identifier
1851486773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 725
- Legal business name
- LATTIMER CHIROPRACTIC CLINIC
- Practice address
- RT 20 Professional Arts Plaza
Buckhannon, WV 26201-0551 - Phone
- (304) 472-6393
- Fax
- (304) 472-6485
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian J Lattimer
- Title
- Chiropractor
- Phone
- (304) 472-6393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 725 | WV | Primary |
Addresses
Primary practice location
RT 20 Professional Arts Plaza
Buckhannon, WV 26201-0551
Mailing address
PO Box 551
Buckhannon, WV 26201-0551
Phone (304) 472-6393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203014000 | Medicaid | WV |
Other names 1
- Brian J Lattimer
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1851486773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262010551",
"telephone_number": "304-472-6393",
"fax_number": "304-472-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 20 PROFESSIONAL ARTS PLAZA",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262010551",
"telephone_number": "304-472-6393",
"fax_number": "304-472-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATTIMER CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "LATTIMER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "304-472-6393",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2203014000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brian J Lattimer",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.