Organization Active NPI

Cornerstone Chiropractic, Inc.

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1013096395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002022 Issued in VA
Legal business name
CORNERSTONE CHIROPRACTIC, INC.
Practice address
13700 Genito Rd
Suite 1
Midlothian, VA 23112-4007
Phone
(804) 744-8710
Fax
(804) 744-8711
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carl E Lavin, D.C.NPI 1104900703
Title
President
Phone
(804) 744-8710

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
Chiropractor 111N00000X 0104002022 VA Primary

Addresses

Primary practice location

13700 Genito Rd
Suite 1
Midlothian, VA 23112-4007

Mailing address

13700 Genito Rd
Suite 1
Midlothian, VA 23112-4007
Phone (804) 744-8710

Other identifiers 1

IdentifierTypeStateIssuer
272807OtherVABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

13700 Genito Rd
Ste 1
Midlothian, VA 23112
Phone (804) 744-8710

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013096395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 GENITO RD",
            "address_2": "SUITE 1",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124007",
            "telephone_number": "804-744-8710",
            "fax_number": "804-744-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 GENITO RD",
            "address_2": "SUITE 1",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124007",
            "telephone_number": "804-744-8710",
            "fax_number": "804-744-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-744-8710",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "272807",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.