Larry L. Stine, D.C., F.A.C.O.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

0104000612 Issued in VA

Practice address

117 Redwood Dr
Fredericksburg, VA 22408-1945

Phone

(540) 898-4100

Fax

(540) 898-9004

NPI assigned

Jul 14, 2005

Last updated

Dec 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stine Chiropractic Clinic PCGroup PAC ID 5294831152, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stine Chiropractic Clinic

  • Orthopedic Chiropractor
  • Fredericksburg, VA
  • NPI 1376588756
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1255330056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 REDWOOD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081945",
            "telephone_number": "540-898-4100",
            "fax_number": "540-898-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 REDWOOD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081945",
            "telephone_number": "540-898-4100",
            "fax_number": "540-898-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "LARRY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C., F.A.C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "0104000612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "207991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Stiles, MOTR/L
• Stillwater Counseling
• Theron Robert Stinar, D.O.
• Stine Chiropractic Clinic
• Christopher Graham Stine, D.C., M.S., D.A.C.O.
• Bridget Lane Stoddard, FNP-C
• Eric W Stoltzfus, MD
• Blake Okeefe Stone, FNP-BC
• Kristina Stone, LCSW
• Matthew Arthur Stone, PHARMD

• Orthopedic Chiropractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Orthopedic Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.