Organization Active NPI

Tester Chiropractic LLC.

  • Chiropractor
  • Wise, VA
National Provider Identifier
1013352699
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557073 Issued in VA
Legal business name
TESTER CHIROPRACTIC LLC.
Practice address
411 East Main Street
Wise, VA 24293
Phone
(606) 216-0842
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Dr. Brandon Paul Tester, D.C.NPI 1649515776
Title
Doctor of Chiropractic
Phone
(606) 216-0842

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 0104557073 VA Primary

Addresses

Primary practice location

411 East Main Street
Wise, VA 24293

Mailing address

PO Box 3895
Wise, VA 24293-3895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000436 VA Part B Supplier - Clinic/Group Practice 5496993644 Receives reassigned benefits from 1 practitioner
Practice locations: Wise, VA

National Provider Directory

National Provider Directory

Locations

724 Norton Rd
#B
Wise, VA 24293
Phone (276) 328-7052

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": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1013352699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3895",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242933895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 EAST MAIN STREET",
            "city": "WISE",
            "state": "VA",
            "postal_code": "24293",
            "telephone_number": "606-216-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTER CHIROPRACTIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "TESTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "606-216-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wise, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.