Organization Active NPI

Abingdon Chiropractic Center PC

  • Chiropractor
  • Abingdon, VA
National Provider Identifier
1033715198
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ABINGDON CHIROPRACTIC CENTER PC
Practice address
103 Charwood Dr
Abingdon, VA 24210-2476
Phone
(276) 628-8167
Fax
(276) 628-8167
NPI assigned
Dec 4, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Dr. Brian Charles Douts, DCNPI 1851820153
Title
Doctor of Chiropractic
Phone
(703) 994-2584

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 NU Primary

Addresses

Primary practice location

103 Charwood Dr
Abingdon, VA 24210-2476

Mailing address

103 Charwood Dr
Abingdon, VA 24210-2476
Phone (276) 628-8167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305001234 VA Part B Supplier - Clinic/Group Practice 0042626640 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Locations

103 Charwood Dr
Abingdon, VA 24210
Phone (276) 628-8167

Practitioners & affiliated clinicians

Practitioners 4

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": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1033715198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102476",
            "telephone_number": "276-628-8167",
            "fax_number": "276-628-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102476",
            "telephone_number": "276-628-8167",
            "fax_number": "276-628-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "DOUTS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "703-994-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.