Individual provider Active NPI

Jon A Whalen, D.C.

  • Chiropractor
  • Barboursville, VA
National Provider Identifier
1144334681
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000994 Issued in VA
Practice address
6420 Seminole TRL
Ste U3
Barboursville, VA 22923-2836
Phone
(434) 985-8100
Fax
(434) 985-8123
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000994 VA Primary

Addresses

Primary practice location

6420 Seminole TRL
Ste U3
Barboursville, VA 22923-2836

Mailing address

6420 Seminole TRL
Ste U3
Barboursville, VA 22923-2836
Phone (434) 985-8100

Other identifiers 2

IdentifierTypeStateIssuer
068249OtherVATRIGON
6980050/002OtherVACIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000000 VA Practitioner - Chiropractic 1658542584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6420 Seminole TRL
U3
Barboursville, VA 22923-2836
Phone (434) 806-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jon a. Whalen, PC Chiropractor CurrentSince Sep 1, 1992 Accepting new patients

Locations

6420 Seminole Trl
Ste U3
Barboursville, VA 22923
Phone (434) 985-8100

6420 Seminole Trl
#U3
Barboursville, VA 22923
Phone (434) 806-3070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1144334681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL",
            "address_2": "STE U3",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "434-985-8100",
            "fax_number": "434-985-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL",
            "address_2": "STE U3",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "434-985-8100",
            "fax_number": "434-985-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JON",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "068249",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6980050/002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.