Organization Active NPI

McCray Chiropractic and Health Restoration Clinic, Inc.

  • Chiropractor
  • Martinsburg, WV
National Provider Identifier
1881679132
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCCRAY CHIROPRACTIC AND HEALTH RESTORATION CLINIC, INC.
Practice address
214 S Viking Way
Martinsburg, WV 25401-5338
Phone
(304) 262-0700
Fax
(304) 262-2854
NPI assigned
Dec 9, 2005
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela McCray
Title
Office Manager
Phone
(304) 262-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

214 S Viking Way
Martinsburg, WV 25401-5338

Mailing address

214 S Viking Way
Martinsburg, WV 25401-5338
Phone (304) 262-0700

Other identifiers 4

IdentifierTypeStateIssuer
0700149OtherWVCIGNA
001711430OtherWVMSBCBS
671135OtherWVUNITED HEALTH CARE
5315087OtherWAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302000241 WV Part B Supplier - Clinic/Group Practice 8628021680 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

5086 Hammonds Mill Rd
Falling Waters, WV 25419
Phone (304) 262-0700

214 S Viking Way
Martinsburg, WV 25401
Phone (304) 262-0700

105 Tavern Rd
Ste 2
Martinsburg, WV 25401
Phone (304) 262-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1881679132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S VIKING WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015338",
            "telephone_number": "304-262-0700",
            "fax_number": "304-262-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S VIKING WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015338",
            "telephone_number": "304-262-0700",
            "fax_number": "304-262-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRAY CHIROPRACTIC AND HEALTH RESTORATION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-262-0700"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0700149",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "001711430",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "671135",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5315087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.

Verify at the official NPI Registry.