Active NPI
John Michael Earsing, D.C.
- Chiropractor
- Bedford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555903
- Practice address
- 804 E Main St
Ste A2
Bedford, VA 24523-2919 - Phone
- (540) 587-0200
- Fax
- (540) 587-0935
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555903 | VA | Primary |
Addresses
Primary practice location
804 E Main St
Ste A2
Bedford, VA 24523-2919
Mailing address
1901 S Main St
Ste 5
Blacksburg, VA 24060-6628
Phone (540) 587-0200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14149312 | Other | VA | WAUSAU |
| 244963 | Other | VA | BLUE CROSS BLUE SHIELD |
| 650305 | Other | VA | ACN |
| 7005206 | Other | VA | AETNA |
| 350054640 | Other | VA | RAIL ROAD MEDICARE |
| 5727348002 | Other | VA | CIGNA VA NATION SYSTEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104555903 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuck Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
| Tuck Chiropractic Corporation | Past | Accepting new patients |
Locations
301 W Main St
Bedford, VA 24523
Phone (540) 586-1105
620 N Main St
Ste 202
Blacksburg, VA 24060
1901 S Main St
Ste 5
Blacksburg, VA 24060
Organizations & group practices 3
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.
-
dba Tuck Chiropractic Clinic
- Chiropractor
- Blacksburg, VA
- NPI 1003987769
-
- Chiropractor
- Bedford, VA
- NPI 1285792176
-
dba Tuck WorkWell
- Family Medicine Physician
- Roanoke, VA
- NPI 1578155610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1184725582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S MAIN ST",
"address_2": "STE 5",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606628",
"telephone_number": "540-587-0200",
"fax_number": "540-587-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 E MAIN ST",
"address_2": "STE A2",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245232919",
"telephone_number": "540-587-0200",
"fax_number": "540-587-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARSING",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "14149312",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "244963",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "650305",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7005206",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "350054640",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA VA NATION SYSTEM",
"identifier": "5727348002",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.