Organization Active NPI

Towne & Country Chiropractic, LTD

  • Chiropractor
  • Gloucester, VA
National Provider Identifier
1306029657
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000677 Issued in VA
Legal business name
TOWNE & COUNTRY CHIROPRACTIC, LTD
Practice address
6091 George Washington Memorial Hwy
Gloucester, VA 23061-3750
Phone
(804) 693-0093
Fax
(804) 693-6311
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Dr. Layton William Merithew, D.C.NPI 1548266729
Title
Owner/Doctor
Phone
(804) 693-0093

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 0104000677 VA Primary

Addresses

Primary practice location

6091 George Washington Memorial Hwy
Gloucester, VA 23061-3750

Mailing address

6091 George Washington Memorial Hwy
Gloucester, VA 23061-3750
Phone (804) 693-0093

Other identifiers 4

IdentifierTypeStateIssuer
67621OtherVACIGNA
051286OtherVAANTHEM
89-1459-1MedicaidVA
LM460091OtherVAANTHEM HEALTHKEEPERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110620000545 VA Part B Supplier - Clinic/Group Practice 3577741693 Receives reassigned benefits from 1 practitioner
Practice locations: Gloucester, VA

National Provider Directory

National Provider Directory

Locations

6091 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-0093

Practitioners & affiliated clinicians

Practitioners 1

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1306029657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613750",
            "telephone_number": "804-693-0093",
            "fax_number": "804-693-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613750",
            "telephone_number": "804-693-0093",
            "fax_number": "804-693-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE & COUNTRY CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "MERITHEW",
        "authorized_official_first_name": "LAYTON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "804-693-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "67621",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "051286",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-1459-1",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "LM460091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.