NPIMap

Organization Active NPI

Cloverleaf Chiropractic PLLC

  • Clinic/Center
  • Big Stone Gap, VA
National Provider Identifier
1114575651
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLOVERLEAF CHIROPRACTIC PLLC
Practice address
1 Cloverleaf SQ Ste A2
Big Stone Gap, VA 24219-2758
Phone
(276) 523-7128
Fax
(276) 523-7213
NPI assigned
Aug 28, 2019
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Dr. Theresa Ann Dunton, DCNPI 1477505675
Title
President
Phone
(276) 523-7128

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1 Cloverleaf SQ Ste A2
Big Stone Gap, VA 24219-2758

Mailing address

1 Cloverleaf SQ Ste A2
Big Stone Gap, VA 24219-2758
Phone (276) 523-7128

National Provider Directory

National Provider Directory

Locations

1 Cloverleaf Sq
Ste A2
Big Stone Gap, VA 24219
Phone (276) 523-7128

Practitioners & affiliated clinicians

Practitioners 2

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": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1114575651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLOVERLEAF SQ STE A2",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192758",
            "telephone_number": "276-523-7128",
            "fax_number": "276-523-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLOVERLEAF SQ STE A2",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192758",
            "telephone_number": "276-523-7128",
            "fax_number": "276-523-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERLEAF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "DUNTON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-523-7128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.