Organization Active NPI

Jack Ricci DC PC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1326193822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556410 Issued in VA
Legal business name
JACK RICCI DC PC
Practice address
111 W Boscawen St
Winchester, VA 22601-4115
Phone
(540) 662-8544
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Jack G Ricci, DC
Title
Owner
Phone
(540) 662-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556410 VA Primary

Addresses

Primary practice location

111 W Boscawen St
Winchester, VA 22601-4115

Mailing address

111 W Boscawen St
Winchester, VA 22601-4115
Phone (540) 662-8544

National Provider Directory

National Provider Directory

Locations

111 W Boscawen St
Winchester, VA 22601
Phone (540) 662-1237

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326193822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W BOSCAWEN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014115",
            "telephone_number": "540-662-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BOSCAWEN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014115",
            "telephone_number": "540-662-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK RICCI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-662-1237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556410",
            "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 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.