Organization Active NPI

Lattimer Chiropractic Clinic

  • Chiropractor
  • Buckhannon, WV
National Provider Identifier
1851486773
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
725 Issued in WV
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

Updated by the provider on Apr 10, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2203014000MedicaidWV

Other names 1

  • Brian J Lattimer Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.