Active NPI
Mitchell Todd Watson, D.C.
- Chiropractor
- Abingdon, VA
National Provider Identifier
1063743797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556752
- Practice address
- 453 W Main St
Abingdon, VA 24210-2630 - Phone
- (276) 206-8202
- Fax
- (276) 206-8220
- NPI assigned
- Jan 20, 2010
- Last updated
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556752 | VA | Primary |
Addresses
Primary practice location
453 W Main St
Abingdon, VA 24210-2630
Mailing address
453 W Main St
Abingdon, VA 24210-2630
Phone (276) 206-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
453 W Main St
Abingdon, VA 24210-2630
Phone (276) 206-8202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556752 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Sports and Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
453 W Main St
Abingdon, VA 24210
Phone (276) 206-8202
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Abingdon, VA
- NPI 1538486659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1063743797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102630",
"telephone_number": "276-206-8202",
"fax_number": "276-206-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102630",
"telephone_number": "276-206-8202",
"fax_number": "276-206-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MITCHELL",
"middle_name": "TODD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556752",
"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 May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.