Foothills Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555784 Issued in VA

Legal business name

FOOTHILLS CHIROPRACTIC CLINIC PC

Practice address

101 1St St NW
Suite 1B
Pulaski, VA 24301-5605

Phone

(336) 648-2725

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Holly Welty Miller, D.C.

Title

Owner

Phone

(336) 648-2725

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Jolene Welty-Miller, D.C.

  • Chiropractor
  • Pulaski, VA
  • NPI 1396846051
  Medicare reassignment NPD

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1356741318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW",
            "address_2": "SUITE 1B",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW",
            "address_2": "SUITE 1B",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "336-648-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "WELTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-648-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER PTAN",
            "identifier": "VVC826A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1396846051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Dianese Lee Edmonds
• Molly G Edwards, FNP-C
• Ellis Home Oxygen and Medical Equipment
• Abigayle Elizabeth Felmlee, DPT
• Foot and Ankle Clinic of the Virginias Inc
• Virginia Marie Fox, RD
• Free Clinic of Pulaski County Inc
• Leslie Geist, BCND
• Catherine Gibson
• Lisa D Glassco, RPH

• All providers in Pulaski, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.