Organization Active NPI

McCarter Wellness DC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1942504113
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
710 Issued in WV
Legal business name
MCCARTER WELLNESS DC
Practice address
4315 Emerson Ave
Parkersburg, WV 26104-1217
Phone
(304) 428-8300
Fax
(304) 428-5087
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dena Watson
Title
Office Manager
Phone
(304) 428-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 710 WV Primary

Addresses

Primary practice location

4315 Emerson Ave
Parkersburg, WV 26104-1217

Mailing address

4315 Emerson Ave
Parkersburg, WV 26104-1217
Phone (304) 428-8300

Other identifiers 1

IdentifierTypeStateIssuer
7600087000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000388 WV Part B Supplier - Clinic/Group Practice 8325200900 Receives reassigned benefits from 2 practitioners
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

4315 Emerson Ave
Parkersburg, WV 26104
Phone (304) 428-8300

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1942504113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041217",
            "telephone_number": "304-428-8300",
            "fax_number": "304-428-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041217",
            "telephone_number": "304-428-8300",
            "fax_number": "304-428-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTER WELLNESS DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-428-8300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600087000",
            "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 Jan 3, 2011; 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.