Individual provider Active NPI

John Richard Doepper, D.C.

  • Rehabilitation Chiropractor
  • Winchester, VA
National Provider Identifier
1043365190
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104001664 Issued in VA
Practice address
230 Costello Drive
Suite 1
Winchester, VA 22602-4300
Phone
(540) 665-4444
Fax
(540) 665-4473
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 0104001664 VA Primary

Addresses

Primary practice location

230 Costello Drive
Suite 1
Winchester, VA 22602-4300

Mailing address

230 Costello Drive
Suite 1
Winchester, VA 22602-6801
Phone (540) 665-4444

Other identifiers 1

IdentifierTypeStateIssuer
249691OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104001664VAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Rehab of Winchester PLLC Rehabilitation CurrentSince Mar 24, 2024 Accepting new patients

Locations

172 Costello Dr
Winchester, VA 22602
Phone (540) 665-4444

172 Costello Dr
Ste 1
Winchester, VA 22602

230 Costello Dr
Ste 1
Winchester, VA 22602
Phone (540) 662-4444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1043365190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COSTELLO DRIVE",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026801",
            "telephone_number": "540-665-4444",
            "fax_number": "540-665-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COSTELLO DRIVE",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024300",
            "telephone_number": "540-665-4444",
            "fax_number": "540-665-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEPPER",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104001664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "249691",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.