Individual provider Active NPI

John Michael Earsing, D.C.

  • Chiropractor
  • Bedford, VA
National Provider Identifier
1184725582
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555903 Issued in VA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14149312OtherVAWAUSAU
244963OtherVABLUE CROSS BLUE SHIELD
650305OtherVAACN
7005206OtherVAAETNA
350054640OtherVARAIL ROAD MEDICARE
5727348002OtherVACIGNA VA NATION SYSTEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100920000094 VA Practitioner - Chiropractic 0547385452 Reassigns benefits to 1 organization
I20240723004001 NY Practitioner - Chiropractic 0547385452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555903VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Jan 6, 2015 Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 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.

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.

Verify at the official NPI Registry.