1. Home
  2. Directory
  3. West Virginia
  4. Man
  5. Chiropractor
  6. NPI Profile

MOUNTAIN STATE CHIROPRACTIC
NPI 1366501447
Chiropractor in Man, WV

Active since December 06, 2006

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Mountain State Chiropractic NPPES

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

MOUNTAIN STATE CHIROPRACTIC (NPI 1366501447) is a healthcare organization registered as a chiropractor in Man, West Virginia and active in the NPI registry since December 2006. The organization lists Johnathan Matthew Ellis, Doctor, as its authorized official.

NPPES Registry Identity

NPI1366501447
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMOUNTAIN STATE CHIROPRACTIC
Location Address310 MARKET STMan, WV 25635-1321
Mailing AddressPo Box 664Man, WV 25635-0664 · (304) 583-6400
Phone(304) 583-6400
Organization SubpartNo
Authorized OfficialJohnathan Matthew EllisDoctor · (304) 583-6400
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1366501447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WV · 823
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.
310 MARKET ST, Man, WV 25635
Open in Google Maps ↗

Other Identifiers 1

Medicaid0208726000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA WHITE D C
Chiropractor
310 MARKET ST
MAN, WV 25635
Logan County (304) 583-6400
JOHN WHITE III DC
Chiropractor
310 MARKET ST
MAN, WV 25635
Logan County (304) 583-6400

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 Mountain State Chiropractic's NPI number?

The NPI number for Mountain State Chiropractic is 1366501447. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Mountain State Chiropractic located?

Mountain State Chiropractic is located at 310 Market St, Man, WV 25635. The listed phone number is (304) 583-6400.

What is Mountain State Chiropractic'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 Mountain State Chiropractic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.