Active NPI
Cornerstone Chiropractic, Inc.
- Chiropractor
- Midlothian, VA
National Provider Identifier
1013096395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104002022
- 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, 2020
- 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
- Carl E Lavin, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272807 | Other | VA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Midlothian, VA
- NPI 1104900703
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.