Individual provider Active NPI

John Franklin Ellis, D.C.

  • Chiropractor
  • Weber City, VA
National Provider Identifier
1083798557
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
702 Issued in VA
Practice address
2368 US Highway 23 N
Ste 102
Weber City, VA 24290-7384
Phone
(276) 386-6666
Fax
(276) 386-6666
NPI assigned
Oct 24, 2006
Last updated
Apr 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 702 VA Primary
Orthopedic Chiropractor 111NX0800X 702 VA

Addresses

Primary practice location

2368 US Highway 23 N
Ste 102
Weber City, VA 24290-7384

Mailing address

2368 US Highway 23 N
Ste 102
Weber City, VA 24290-7384
Phone (276) 386-6666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000875 VA Practitioner - Chiropractic 8820129695 Practice locations: Weber City, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2368 US 23
Suite 102
Weber City, VA 24290-7025
Phone (276) 386-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
702VAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1083798557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 US HIGHWAY 23 N",
            "address_2": "STE 102",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "242907384",
            "telephone_number": "276-386-6666",
            "fax_number": "276-386-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 US HIGHWAY 23 N",
            "address_2": "STE 102",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "242907384",
            "telephone_number": "276-386-6666",
            "fax_number": "276-386-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "702",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weber City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.

Verify at the official NPI Registry.