Individual provider Active NPI

Gabriel Boothe, DC

  • Chiropractor
  • Abingdon, VA
National Provider Identifier
1114862299
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558167 Issued in VA
Practice address
108 Reedy Creek Rd
Abingdon, VA 24210-2436
Phone
(276) 628-8006
Fax
(276) 628-6117
NPI assigned
Apr 23, 2026
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558167 VA Primary

Addresses

Primary practice location

108 Reedy Creek Rd
Abingdon, VA 24210-2436

Mailing address

108 Reedy Creek Rd
Abingdon, VA 24210-2436
Phone (276) 628-8006

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 Reedy Creek Rd
Abingdon, VA 24210-2436

19312 Trotters LN
Abingdon, VA 24211-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104558167VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boothe Chiropractic Clinic Chiropractor CurrentSince Jun 21, 2026 Accepting new patients

Locations

108 Reedy Creek Rd
Abingdon, VA 24210
Phone (276) 628-8006

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.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1114862299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 REEDY CREEK RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102436",
            "telephone_number": "276-628-8006",
            "fax_number": "276-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 REEDY CREEK RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102436",
            "telephone_number": "276-628-8006",
            "fax_number": "276-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558167",
            "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 Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.