Organization Active NPI

Capps Chiropractic Clinic

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1013014372
Registry record updated Jun 29, 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
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

Updated by the provider on Jun 29, 2010

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)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) 981-9394

Other identifiers 2

IdentifierTypeStateIssuer
136853OtherVAANTHEM
350032543OtherVARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.