NPIMap

Organization Active NPI

Tuck Chiropractic Corporation

  • Chiropractor
  • Blacksburg, VA
National Provider Identifier
1003987769
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TUCK CHIROPRACTIC CORPORATION
Practice address
620 N Main St Ste 203
Blacksburg, VA 24060-3385
Phone
(540) 951-6900
Fax
(540) 951-1202
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
TUCK CHIROPRACTIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Hannah Shelton
Title
Billing & Claims Coordinator
Phone
(540) 951-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

620 N Main St Ste 203
Blacksburg, VA 24060-3385

Mailing address

620 N Main St Ste 202
Blacksburg, VA 24060-3385
Phone (540) 951-6900

Other practice location 1

60 Summerfield Ct Ste 101
Roanoke, VA 24019-4579
Phone (540) 890-1444

Other practice location 2

1212 Corporate Cir SW
Roanoke, VA 24018-1491
Phone (540) 776-8200

Other practice location 3

490 S Main St Ste 101
Rocky Mount, VA 24151-1762
Phone (540) 483-4444

Other practice location 4

7350 Peppers Ferry Blvd Ste B
Fairlawn, VA 24141-8999
Phone (540) 731-4357

Other practice location 5

6206 Peters Creek Rd
Roanoke, VA 24019-4026
Phone (540) 563-0334

Other practice location 6

5261 Carrollton Pike Ste B
Woodlawn, VA 24381-3034
Phone (276) 730-9555

Other practice location 7

2045 N Franklin St
Christiansburg, VA 24073-1227
Phone (540) 382-3000

Other practice location 8

301 W Main St
Bedford, VA 24523-1902
Phone (540) 586-1105

Other practice location 9

872 Lee Hwy
Roanoke, VA 24019-8691
Phone (540) 966-6485

Other names 1

  • Tuck Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041030000039 VA Part B Supplier - Clinic/Group Practice 0547222739 Receives reassigned benefits from 16 practitioners
Practice locations: Bedford, VA; Woodlawn, VA; Rocky Mount, VA; Roanoke, VA; Fairlawn, VA; Christiansburg, VA; Blacksburg, VA

National Provider Directory

National Provider Directory
Part of
Ray Tuck DCPC

Locations

1901 S Main St
Ste 5
Blacksburg, VA 24060

7368 Peppers Ferry Blvd
Fairlawn, VA 24141
Phone (540) 731-4357

7350 Peppers Ferry Blvd
Ste B
Fairlawn, VA 24141
Phone (540) 731-4357

6206 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 563-0334

1212 Corporate Cir SW
Roanoke, VA 24018
Phone (540) 776-8200

4903 Starkey Rd
Ste 100
Roanoke, VA 24018
Phone (540) 774-4443

60 Summerfield Ct
#101
Roanoke, VA 24019
Phone (540) 890-1444

1533 Franklin St
Rocky Mount, VA 24151
Phone (540) 483-4444

490 S Main St
Ste 101
Rocky Mount, VA 24151
Phone (540) 483-4444

2445 E Washington Ave
#B
Vinton, VA 24179
Phone (540) 890-1444

Practitioners & affiliated clinicians

Practitioners 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1003987769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST STE 202",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST STE 203",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Summerfield Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240194579",
            "country_code": "US",
            "telephone_number": "540-890-1444",
            "fax_number": "540-890-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Corporate Cir SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240181491",
            "country_code": "US",
            "telephone_number": "540-776-8200",
            "fax_number": "540-776-9285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "VA",
            "postal_code": "241511762",
            "country_code": "US",
            "telephone_number": "540-483-4444",
            "fax_number": "540-483-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 Peppers Ferry Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "VA",
            "postal_code": "241418999",
            "country_code": "US",
            "telephone_number": "540-731-4357",
            "fax_number": "540-731-4308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6206 Peters Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240194026",
            "country_code": "US",
            "telephone_number": "540-563-0334",
            "fax_number": "540-301-3558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5261 Carrollton Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Woodlawn",
            "state": "VA",
            "postal_code": "243813034",
            "country_code": "US",
            "telephone_number": "276-730-9555",
            "fax_number": "276-730-9557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240731227",
            "country_code": "US",
            "telephone_number": "540-382-3000",
            "fax_number": "540-381-6345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "VA",
            "postal_code": "245231902",
            "country_code": "US",
            "telephone_number": "540-586-1105",
            "fax_number": "540-586-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "872 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240198691",
            "country_code": "US",
            "telephone_number": "540-966-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCK CHIROPRACTIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUCK CHIROPRACTIC CORPORATION",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "BILLING & CLAIMS COORDINATOR",
        "authorized_official_telephone_number": "540-951-6900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuck Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.