Organization Active NPI

Staunton Chiropractic Center

  • Chiropractor
  • Staunton, VA
National Provider Identifier
1003840216
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000537 Issued in VA
Legal business name
STAUNTON CHIROPRACTIC CENTER
Practice address
2303 N Augusta St
Ste B
Staunton, VA 24401
Phone
(540) 886-0745
Fax
(540) 887-8383
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Terry M Pleskonko, DCNPI 1639104821
Title
Owner
Phone
(540) 886-0745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000537 VA Primary

Addresses

Primary practice location

2303 N Augusta St
Ste B
Staunton, VA 24401

Mailing address

2303 N Augusta St
Ste B
Staunton, VA 24401
Phone (540) 886-0745

Other identifiers 3

IdentifierTypeStateIssuer
C09131OtherVAMEDICARE GROUP NUMBER
029026OtherANTHEM
A546090770001OtherCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000484 VA Part B Supplier - Clinic/Group Practice 7416928049 Receives reassigned benefits from 1 practitioner
Practice locations: Staunton, VA

National Provider Directory

National Provider Directory

Locations

2013 N Augusta St
#B
Staunton, VA 24401
Phone (540) 886-0745

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1003840216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 N AUGUSTA ST",
            "address_2": "STE B",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-886-0745",
            "fax_number": "540-887-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 N AUGUSTA ST",
            "address_2": "STE B",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-886-0745",
            "fax_number": "540-887-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUNTON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "PLESKONKO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-886-0745",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C09131",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "029026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "A546090770001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.