Organization Active NPI

Gregory Chiropractic Health Center P.C.

  • Chiropractor
  • Lebanon, VA
National Provider Identifier
1093878779
Registry record updated Nov 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000589 Issued in VA
Legal business name
GREGORY CHIROPRACTIC HEALTH CENTER P.C.
Practice address
1114 E Main St
Suite 7
Lebanon, VA 24266-5014
Phone
(276) 889-4701
Fax
(276) 889-4701
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2011

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

Authorized official

Name
Dr. Barry Keith Gregory, D.C.NPI 1225049778
Title
President
Phone
(276) 889-4701

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000589 VA Primary

Addresses

Primary practice location

1114 E Main St
Suite 7
Lebanon, VA 24266-5014

Mailing address

PO Box 2425
1114 E Main Suite 7
Lebanon, VA 24266-2425
Phone (276) 889-4701

Other identifiers 1

IdentifierTypeStateIssuer
332447OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120203000518 VA Part B Supplier - Clinic/Group Practice 5092972976 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, VA

National Provider Directory

National Provider Directory

Locations

1114 E Main St
Ste 7
Lebanon, VA 24266
Phone (276) 889-4701

1114 E Main St
#7
Lebanon, VA 24266
Phone (276) 889-4701

Practitioners & affiliated clinicians

Practitioners 1

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321142400000",
    "number": "1093878779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2425",
            "address_2": "1114 E MAIN SUITE 7",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662425",
            "telephone_number": "276-889-4701",
            "fax_number": "276-889-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E MAIN ST",
            "address_2": "SUITE 7",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665014",
            "telephone_number": "276-889-4701",
            "fax_number": "276-889-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CHIROPRACTIC HEALTH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-11-13",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-889-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "332447",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.