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304 CHIROPRACTIC PLLC
NPI 1598325946
Chiropractor in Barboursville, WV

Active since June 18, 2019
6468 FARMDALE RD, BARBOURSVILLE, WV 25504(304) 743-1261(304) 390-6015 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2019, Jun 18, 2019 (2 updates tracked since 2019).

About 304 Chiropractic Pllc NPPES

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

304 CHIROPRACTIC PLLC (NPI 1598325946) is a healthcare organization registered as a chiropractor in Barboursville, West Virginia and active in the NPI registry since June 2019. The organization lists Jon-tyler Roach, Owner, as its authorized official.

NPPES Registry Identity

NPI1598325946
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name304 CHIROPRACTIC PLLC
Location Address6468 FARMDALE RDBarboursville, WV 25504-1330
Mailing Address6468 Farmdale RdBarboursville, WV 25504-1330 · (304) 733-4038 · Fax (304) 733-4036
Phone(304) 743-1261
Fax(304) 390-6015
Organization SubpartNo
Authorized OfficialJon-tyler RoachOwner · (304) 638-3160
Enumeration DateJune 18, 2019
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1598325946 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.
6468 FARMDALE RD, Barboursville, WV 25504
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

304 Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 304 Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon-Tyler Roach, D.C.
Chiropractic
NPI 1508262882
6468 FARMDALE RD
Barboursville, WV 25504
(304) 733-4038
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 304 Chiropractic PLLC's NPI number?

The NPI number for 304 Chiropractic PLLC is 1598325946. It was assigned to this organization in the NPPES registry on June 18, 2019.

Where is 304 Chiropractic PLLC located?

304 Chiropractic PLLC is located at 6468 Farmdale Rd, Barboursville, WV 25504. The listed phone number is (304) 743-1261.

What is 304 Chiropractic PLLC's specialty?

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

Is 304 Chiropractic PLLC enrolled in Medicare?

Yes. 304 Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 304 Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to 304 Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 304 Chiropractic PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list 304 Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 304 Chiropractic PLLC was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.