The Spine Center of Roanoke Valley, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555954 Issued in VA

Legal business name

THE SPINE CENTER OF ROANOKE VALLEY, INC.

Practice address

4504 Starkey Rd
Suite 100
Roanoke, VA 24018-8540

Phone

(540) 774-2513

Fax

(540) 774-0669

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Travis Stickle, D.C.NPI 1306921200

Title

Owner

Phone

(540) 774-2513

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Travis Stickle, D.C.

  • Chiropractor
  • Lynchburg, VA
  • NPI 1306921200
  NPD (past) Authorized official
• Earl Robert Hedrick, D.C.

  • Chiropractor
  • Roanoke, VA
  • NPI 1093806432
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235278565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 STARKEY RD",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188540",
            "telephone_number": "540-774-2513",
            "fax_number": "540-774-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 STARKEY RD",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188540",
            "telephone_number": "540-774-2513",
            "fax_number": "540-774-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE CENTER OF ROANOKE VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STICKLE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-774-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.