Jack G Ricci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556410 Issued in VA

Practice address

3119 Valley Ave Ste 104
Winchester, VA 22601-2665

Phone

(540) 662-6284

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Creekside Chiropractic, P.C.Group PAC ID 6901935337, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creekside Chiropractic, P.C.

  • Chiropractor
  • Winchester, VA
  • NPI 1235307950
  Medicare reassignment Care Compare group NPD
• Valley Counseling Solutuions, Inc.

  • Community/Behavioral Health Agency
  • Winchester, VA
  • NPI 1629241740
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478908800000",
    "number": "1124003868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 STONERIDGE RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012865",
            "telephone_number": "540-931-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 VALLEY AVE STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012665",
            "telephone_number": "540-662-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "JACK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X09345",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "892",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Reynolds, M.ED., BCBA, LBA
• James Rhodes, RPH
• Joel A Rhodes, CRNA
• Mary Maynadier Rhodes, MD
• Diane Ricci, LCSW
• Lin M. Riccio, M.D.
• Rhonda Elizabeth Rice, OT
• Richard L. Fieo MD PC
• Noah NA Richard Sr.
• Valeria Richards, FNP

• Chiropractor in Winchester, VA
• Providers in Winchester, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2016; 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.