Justin Lee Whitlock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557058 Issued in VA

Practice address

513 Wenonah Ave
Pearisburg, VA 24134-1633

Phone

(540) 921-2311

NPI assigned

Apr 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1013351022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WENONAH AVE",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341633",
            "telephone_number": "304-923-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WENONAH AVE",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341633",
            "telephone_number": "540-921-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Alleghany Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Shawsville",
            "state": "VA",
            "postal_code": "241621801",
            "country_code": "US",
            "telephone_number": "304-923-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pearisburg, VA
• Providers in Pearisburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.