Northern Neck Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000874 Issued in VA

Legal business name

NORTHERN NECK CHIROPRACTIC PC

Practice address

351 South Main Street
Kilmarnock, VA 22482-1447

Phone

(804) 435-3333

Fax

(804) 435-1933

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edist Jeems Love, D.C.NPI 1376568071

Title

President

Phone

(804) 435-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edist Jeems Love, DC

  • Chiropractor
  • Kilmarnock, VA
  • NPI 1376568071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1184844995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S MAIN ST",
            "address_2": "P.O. BOX 1447",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821447",
            "telephone_number": "804-435-3333",
            "fax_number": "804-435-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SOUTH MAIN STREET",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821447",
            "telephone_number": "804-435-3333",
            "fax_number": "804-435-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NECK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "EDIST",
        "authorized_official_middle_name": "JEEMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-435-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sue Miller, RD
• Patricia Kathleen Monge-Meberg, MD
• Olivia Mothershead, PHARMD
• David Alan Newman, DMD
• Michael David Nickerson Sr., DDS
• Northern Neck Free Health Clinic
• Northern Neck Life Consultants, PLLC
• Northern Neck Nephrology PC
• Northern Neck Surgical Services
• Old Dominion Eye Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.