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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CEREDO CHIROPRACTIC & INTEGRATED WELLNESS PLLC
NPI 1336068527
Chiropractor in Ceredo, WV

Active since July 13, 2026
420 W 4TH ST STE 10A, CEREDO, WV 25507(657) 640-9199 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ceredo Chiropractic & Integrated Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEREDO CHIROPRACTIC & INTEGRATED WELLNESS PLLC (NPI 1336068527) is a healthcare organization registered as a chiropractor in Ceredo, West Virginia and active in the NPI registry since July 2026. The organization lists John Samuel Fry, President, as its authorized official.

NPPES Registry Identity

NPI1336068527
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCEREDO CHIROPRACTIC & INTEGRATED WELLNESS PLLC
Location Address420 W 4TH ST STE 10ACeredo, WV 25507-2125
Mailing AddressPo Box 1208Ceredo, WV 25507-1208 · (657) 640-9199
Phone(657) 640-9199
Organization SubpartNo
Authorized OfficialJohn Samuel FryPresident · (304) 544-2239
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1336068527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
420 W 4TH ST STE 10A, Ceredo, WV 25507
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ceredo Chiropractic & Integrated Wellness PLLC's NPI number?

The NPI number for Ceredo Chiropractic & Integrated Wellness PLLC is 1336068527. It was assigned to this organization in the NPPES registry on July 13, 2026.

Where is Ceredo Chiropractic & Integrated Wellness PLLC located?

Ceredo Chiropractic & Integrated Wellness PLLC is located at 420 W 4th St Ste 10A, Ceredo, WV 25507. The listed phone number is (657) 640-9199.

What is Ceredo Chiropractic & Integrated Wellness PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ceredo Chiropractic & Integrated Wellness PLLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.