Organization Active NPI

Capps Chiropractic Clinic Inc

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1003134016
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
104000293 Issued in VA
Legal business name
CAPPS CHIROPRACTIC CLINIC INC
Practice address
5220 Williamson Rd NW
Roanoke, VA 24012-1700
Phone
(540) 981-9394
Fax
(540) 344-7154
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Willard Gregory Capps, CHIROPRACTIC
Title
Owner
Phone
(540) 362-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 104000293 VA Primary

Addresses

Primary practice location

5220 Williamson Rd NW
Roanoke, VA 24012-1700

Mailing address

PO Box 4127
Roanoke, VA 24015-0127
Phone (540) 344-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000977 VA Part B Supplier - Clinic/Group Practice 8921290511 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

5220 Williamson Rd NW
Roanoke, VA 24012
Phone (540) 362-3700

5220 Williamson Rd NW
Ste E
Roanoke, VA 24012
Phone (540) 362-3700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1003134016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-344-9779",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 WILLIAMSON RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121700",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPPS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-362-3700",
        "authorized_official_credential": "CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "104000293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.