Active NPI
Chiropractic First of Swva Abingdon
- Clinic/Center
- Abingdon, VA
National Provider Identifier
1306208731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0104556437
- Legal business name
- CHIROPRACTIC FIRST OF SWVA ABINGDON
- Practice address
- 121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758 - Phone
- (276) 525-1777
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randy Bernard Maxwell, D.C.
- Title
- Cfo/Co-Owner
- Phone
- (304) 254-4622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0104556437 | VA | Primary |
Addresses
Primary practice location
121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758
Mailing address
121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758
Phone (276) 525-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
121 Russell Rd NW
#1
Abingdon, VA 24210
Phone (276) 525-1777
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- North Tazewell, VA
- NPI 1336144690
-
- Chiropractor
- North Tazewell, VA
- NPI 1497143655
-
- Chiropractor
- Floyd, VA
- NPI 1063069409
-
- Chiropractor
- Effingham, IL
- NPI 1689071359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483056000000",
"number": "1306208731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 RUSSELL RD NW STE 1",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102758",
"telephone_number": "276-525-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RUSSELL RD NW STE 1",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102758",
"telephone_number": "276-525-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC FIRST OF SWVA ABINGDON",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2016-12-30",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "CFO/CO-OWNER",
"authorized_official_telephone_number": "304-254-4622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0104556437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.