NPIMap

Organization Active NPI

Walter Chiropractic Clinic

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1275609331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000425 Issued in VA
Legal business name
WALTER CHIROPRACTIC CLINIC
Practice address
5219 Peters Creek Rd NW
Suite 5
Roanoke, VA 24019-3864
Phone
(540) 362-0811
Fax
(540) 362-5025
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory L Walter, DCNPI 1902802457
Title
Owner
Phone
(540) 362-0811

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 0104000425 VA Primary

Addresses

Primary practice location

5219 Peters Creek Rd NW
Suite 5
Roanoke, VA 24019-3864

Mailing address

5219 Peters Creek Rd NW
Suite 5
Roanoke, VA 24019-3864
Phone (540) 362-0811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275609331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 PETERS CREEK RD NW",
            "address_2": "SUITE 5",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193864",
            "telephone_number": "540-362-0811",
            "fax_number": "540-362-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 PETERS CREEK RD NW",
            "address_2": "SUITE 5",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193864",
            "telephone_number": "540-362-0811",
            "fax_number": "540-362-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-362-0811",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • 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.