Active NPI
Capps Chiropractic Clinic
- Chiropractor
- Roanoke, VA
National Provider Identifier
1013014372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 104000293
- Legal business name
- CAPPS CHIROPRACTIC CLINIC
- Practice address
- 5220 Williamson Rd NW
Roanoke, VA 24012-1700 - Phone
- (540) 344-9779
- Fax
- (540) 344-7154
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Willard Gregory Capps
- Title
- Charpractic
- Phone
- (540) 362-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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) 981-9394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136853 | Other | VA | ANTHEM |
| 350032543 | Other | VA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1013014372",
"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": "540-981-9394",
"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": "540-344-9779",
"fax_number": "540-344-7154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPPS CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "CAPPS",
"authorized_official_first_name": "WILLARD",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "CHARPRACTIC",
"authorized_official_telephone_number": "540-362-3700",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "104000293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "136853",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350032543",
"state": "VA"
}
],
"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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.