NPIMap

Organization Active NPI

Bethany Carilli, D.C., Inc

  • Chiropractor
  • Farmville, VA
National Provider Identifier
1225510076
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557411 Issued in VA
Legal business name
BETHANY CARILLI, D.C., INC
Practice address
800 Buffalo St
Farmville, VA 23901-1112
Phone
(434) 315-5868
Fax
(434) 315-5989
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. Bethany Carilli, DCNPI 1184159782
Title
Chiropractor
Phone
(330) 692-8891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557411 VA Primary

Addresses

Primary practice location

800 Buffalo St
Farmville, VA 23901-1112

Mailing address

PO Box 371
Farmville, VA 23901-0371
Phone (434) 315-5868

Other names 1

  • Community Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107000721 VA Part B Supplier - Clinic/Group Practice 6204172620 Receives reassigned benefits from 2 practitioners
Practice locations: Farmville, VA

National Provider Directory

National Provider Directory

Locations

800 Buffalo St
Farmville, VA 23901
Phone (434) 315-5868

800 Buffalo St
#B
Farmville, VA 23901
Phone (434) 315-5868

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1225510076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010371",
            "telephone_number": "434-315-5868",
            "fax_number": "434-315-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUFFALO ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011112",
            "telephone_number": "434-315-5868",
            "fax_number": "434-315-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CARILLI, D.C., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "CARILLI",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-692-8891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.