Individual provider Active NPI

Christopher John Ubert, D.C.

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1245443035
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002027 Issued in VA
Practice address
3119 Valley Ave
Suite 104
Winchester, VA 22601-2665
Phone
(540) 662-6284
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104002027 VA Primary

Addresses

Primary practice location

3119 Valley Ave
Suite 104
Winchester, VA 22601-2665

Mailing address

3119 Valley Ave
Suite 104
Winchester, VA 22601-2665
Phone (540) 662-6284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000851 VA Practitioner - Chiropractic 7012046451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Creekside Chiropractic, P.C.Group PAC ID 6901935337, 2 clinicians

Practice addresses (Care Compare)

3119 Valley Ave
Winchester, VA 22601-2665
Phone (540) 662-6284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Chiropractic, P.C. Chiropractor CurrentSince Mar 8, 2010 Accepting new patients
Jack Ricci DC PC Chiropractor PastSince Apr 1, 2020 Accepting new patients

Locations

3119 Valley Ave
Ste 104
Winchester, VA 22601
Phone (540) 662-6284

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1245443035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 VALLEY AVE",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012665",
            "telephone_number": "540-662-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 VALLEY AVE",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012665",
            "telephone_number": "540-662-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBERT",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.