Individual provider Active NPI

Don Tyler Handly, D.C.

  • Chiropractor
  • Collinsville, VA
National Provider Identifier
1376544692
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001795 Issued in VA
Practice address
4848 Kings Mountain Rd
Collinsville, VA 24078-1828
Phone
(276) 647-3728
Fax
(276) 622-2003
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001795 VA Primary

Addresses

Primary practice location

4848 Kings Mountain Rd
Collinsville, VA 24078-1828

Mailing address

4848 Kings Mountain Rd
Collinsville, VA 24078-1275
Phone (276) 647-3728

Other identifiers 2

IdentifierTypeStateIssuer
265389OtherBLUE CROSS/BLUE SHIELD
265389OtherVABLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000400 VA Practitioner - Chiropractic 1153446398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4848 Kings Mountain Rd
Collinsville, VA 24078-1275
Phone (276) 647-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Handly Chiropractic & Wellness Center LLC Chiropractor CurrentSince Jul 1, 2010 Accepting new patients
Ralph L. Love D.C., P.C. Chiropractor Past Accepting new patients

Locations

4848 Kings Mountain Rd
Collinsville, VA 24078
Phone (276) 647-3728

5140 Kings Mountain Rd
Collinsville, VA 24078
Phone (276) 647-3728

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1376544692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 KINGS MOUNTAIN RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781275",
            "telephone_number": "276-647-3728",
            "fax_number": "276-622-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 KINGS MOUNTAIN RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781828",
            "telephone_number": "276-647-3728",
            "fax_number": "276-622-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLY",
        "first_name": "DON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "265389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "265389",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.