Dr. J Chiropractic and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

828 Issued in WV

Legal business name

DR. J CHIROPRACTIC AND WELLNESS CENTER

Practice address

642 Cross Lanes Dr
Nitro, WV 25143-1163

Phone

(304) 776-1520

Fax

(304) 776-1521

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay Lee McClanahan, D.C.NPI 1245368240

Title

Chiropractor

Phone

(304) 776-1520

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Jay Lee McClanahan, D.C.

  • Chiropractor
  • Nitro, WV
  • NPI 1245368240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952425175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 CROSS LANES DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431163",
            "telephone_number": "304-776-1520",
            "fax_number": "304-776-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 CROSS LANES DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431163",
            "telephone_number": "304-776-1520",
            "fax_number": "304-776-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "304-776-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "91087",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1060823",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "AS40510400001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002674",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7509681",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "306672",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Dean
• Becky Ann Dempsey, FNP-BC
• Anna Marie Digregorio
• Sultana Dixon
• Dr. J Chiropractic & Wellness Center
• McKenzie Michelle Dunn
• Michalene Marie Ebbert, M.A.,LPC.ALPS.RTT-S
• Elite Health Care, Inc.
• Laurie Jewel Elkins, CRNA
• Janice Lynn Estep

• All providers in Nitro, WV
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.