Organization Active NPI

Dr. William E. Deregibus PC

  • Chiropractor
  • Farmville, VA
National Provider Identifier
1023210424
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000353 Issued in VA
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

Updated by the provider on Jun 18, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
015842OtherVAANTHEM PROVIDER
3500002110OtherVARAILROAD MEDICAL PROVIDER

Other names 1

  • Farmville Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.