Active NPI
Stephen Boles Wells, DC
- Chiropractor
- Parkersburg, WV
National Provider Identifier
1861444622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 664
- Practice address
- 2108 Camden Ave
Suite D
Parkersburg, WV 26101-5672 - Phone
- (304) 422-9600
- Fax
- (304) 422-9603
- NPI assigned
- May 17, 2006
- Last updated
- Aug 8, 2016
- 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 | 664 | WV | Primary |
Addresses
Primary practice location
2108 Camden Ave
Suite D
Parkersburg, WV 26101-5672
Mailing address
2108 Camden Ave
Suite D
Parkersburg, WV 26101-5672
Phone (304) 422-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722356 | Other | WV | MSBCBS |
| 0132314000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Folwell Chiropractic Clinic, Inc. | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mountaineer Chiropractic
- Chiropractor
- Parkersburg, WV
- NPI 1316157092
-
- Chiropractor
- Parkersburg, WV
- NPI 1386894855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1861444622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 CAMDEN AVE",
"address_2": "SUITE D",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015672",
"telephone_number": "304-422-9600",
"fax_number": "304-422-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 CAMDEN AVE",
"address_2": "SUITE D",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015672",
"telephone_number": "304-422-9600",
"fax_number": "304-422-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "STEPHEN",
"middle_name": "BOLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001722356",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132314000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.