SOUTHRIDGE ADVANCED CHIROPRACTIC
NPI 1699960351
Chiropractor in Charleston, WV

Active since September 06, 2007
100 PEYTON WAY, SUITE 201, CHARLESTON, WV 25309(850) 557-0104 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southridge Advanced Chiropractic NPPES

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

SOUTHRIDGE ADVANCED CHIROPRACTIC (NPI 1699960351) is a healthcare organization registered as a chiropractor in Charleston, West Virginia and active in the NPI registry since September 2007. The organization lists Jody R Eastwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1699960351
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHRIDGE ADVANCED CHIROPRACTIC
Location Address100 PEYTON WAY, SUITE 201Charleston, WV 25309-8572
Mailing Address100 Peyton Way, Suite 201Charleston, WV 25309-8572 · (850) 557-0104
Organization SubpartNo
Authorized OfficialJody R EastwoodOwner · (850) 557-0104
Enumeration DateSeptember 6, 2007
✔ NPI 1699960351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WV · 111N00000X
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.
100 PEYTON WAY, Charleston, WV 25309

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 9

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

Psychologist
100 PEYTON WAY
CHARLESTON, WV 25309
Registered Nurse
100 PEYTON WAY, STE 200
CHARLESTON, WV 25309
Anesthesiology (Pain Medicine)
100 PEYTON WAY, STE 200
CHARLESTON, WV 25309
Chiropractor
100 PEYTON WAY, SUITE 201
CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
100 PEYTON WAY, SUITE 200
CHARLESTON, WV 25309
Chiropractor
100 PEYTON WAY, SUITE 201
CHARLESTON, WV 25309
Psychiatry & Neurology (Psychiatry)
100 PEYTON WAY, SUITE 100
CHARLESTON, WV 25309
Nurse Practitioner (Primary Care)
100 PEYTON WAY
SOUTH CHARLESTON, WV 25309

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 Southridge Advanced Chiropractic's NPI number?

The NPI number for Southridge Advanced Chiropractic is 1699960351. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Southridge Advanced Chiropractic located?

Southridge Advanced Chiropractic is located at 100 Peyton Way Suite 201, Charleston, WV 25309. The listed phone number is (850) 557-0104.

What is Southridge Advanced 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 Southridge Advanced Chiropractic was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.