Active NPI
Dr. William E. Deregibus PC
- Chiropractor
- Farmville, VA
National Provider Identifier
1023210424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000353
- Legal business name
- DR. WILLIAM E. DEREGIBUS PC
- Practice address
- 1414 W 3Rd St
Farmville, VA 23901-2648 - Phone
- (434) 392-9807
- NPI assigned
- Jun 5, 2007
- 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
- Dr. William E Deregibus, DC
- Title
- Chiropractor
- Phone
- (434) 392-9807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000353 | VA | Primary |
Addresses
Primary practice location
1414 W 3Rd St
Farmville, VA 23901-2648
Mailing address
1414 W 3Rd St
Farmville, VA 23901-2648
Phone (434) 392-9807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015842 | Other | VA | ANTHEM PROVIDER |
| 3500002110 | Other | VA | RAILROAD MEDICAL PROVIDER |
Other names 1
- Farmville Chiropractic Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1023210424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W 3RD ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239012648",
"telephone_number": "434-392-9807",
"fax_number": "434-392-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W 3RD ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239012648",
"telephone_number": "434-392-9807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WILLIAM E. DEREGIBUS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "DEREGIBUS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "434-392-9807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER",
"identifier": "015842",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICAL PROVIDER",
"identifier": "3500002110",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmville Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.