Individual provider Active NPI

Duane E. Hudspath, DC

  • Chiropractor
  • Stephens City, VA
National Provider Identifier
1174662076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001281 Issued in VA
Practice address
5436 Main St
Stephens City, VA 22655-2829
Phone
(540) 869-3034
Fax
(540) 869-0195
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001281 VA Primary

Addresses

Primary practice location

5436 Main St
Stephens City, VA 22655-2829

Mailing address

5436 Main St
Stephens City, VA 22655-2829
Phone (540) 869-3034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000491 VA Practitioner - Chiropractic 6608051263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5436 Main St
Stephens City, VA 22655-2829
Phone (540) 869-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens City Chiropractic PLC CurrentSince Nov 8, 2010 Accepting new patients

Locations

5436 Main St
Stephens City, VA 22655
Phone (540) 869-3034

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174662076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 MAIN ST",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552829",
            "telephone_number": "540-869-3034",
            "fax_number": "540-869-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 MAIN ST",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552829",
            "telephone_number": "540-869-3034",
            "fax_number": "540-869-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSPATH",
        "first_name": "DUANE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.