New River Chiropractic & Wellness Center

Key facts

NPI: 1902016264
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 829 (WV)
Legal business name: NEW RIVER CHIROPRACTIC & WELLNESS CENTER
Practice address: 227 Maple Ave
Oak Hill, WV 25901-3475
Phone: (304) 469-3615
Fax: (304) 469-3652
NPI assigned: May 23, 2007
Organization subpart: No

Authorized official

Name: Dr. Edward G McCormick, D.C. NPI 1245323146
Title: Owner
Phone: (304) 469-3615

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Edward Garland McCormick, D.C. Chiropractor · Oak Hill, WV · NPI 1245323146

NPD (past) Authorized official CHIROPRACTOR
Alisha Danyiel Anderson, DC Chiropractor · Beaver, WV · NPI 1790792992

NPD (past) CHIROPRACTOR
Daniel Allen Boggs, D.C. Chiropractor · Hurricane, WV · NPI 1255421590

NPD (past) CHIROPRACTOR
Michael Joseph Kominsky, D.C. Chiropractor · Beckley, WV · NPI 1831262161

NPD (past) CHIROPRACTOR
William Edward Mullins, D.C. Chiropractor · Cross Lanes, WV · NPI 1053495747

NPD (past) CHIROPRACTOR
Frank L Brach, D.C. Chiropractor · Washington, PA · NPI 1952371726

NPD (past) CHIROPRACTOR

National Provider Directory

Locations

227 Maple Ave
Oak Hill, WV 25901
Phone (304) 469-3615

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	829	WV	Yes

Addresses

Primary practice location

227 Maple Ave
Oak Hill, WV 25901-3475

Mailing address

227 Maple Ave
Oak Hill, WV 25901-3475
Phone (304) 469-3615

Other identifiers

Identifier	Type	State	Issuer
3810004629	Medicaid	WV

Other names

Kominsky Chiropractic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902016264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAPLE AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013475",
            "telephone_number": "304-469-3615",
            "fax_number": "304-469-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MAPLE AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013475",
            "telephone_number": "304-469-3615",
            "fax_number": "304-469-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-469-3615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004629",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kominsky Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Hill, WV

All providers in Oak Hill, WV · Chiropractor in West Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.