Individual provider Active NPI

Sally Ann Dorsett, DC

  • Chiropractor
  • Daleville, VA
National Provider Identifier
1376548339
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001436 Issued in VA
Practice address
1342 Roanoke Rd
Daleville, VA 24083-2571
Phone
(540) 966-3003
Fax
(540) 966-0071
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001436 VA Primary

Addresses

Primary practice location

1342 Roanoke Rd
Daleville, VA 24083-2571

Mailing address

PO Box 1069
Buchanan, VA 24066-1069
Phone (540) 966-3003

Other identifiers 2

IdentifierTypeStateIssuer
324842OtherVAANTHEM-BUCHANAN OFFICE
283012OtherVAANTHEM-ROANOKE OFFICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000265 VA Practitioner - Chiropractic 6204017965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Donald DorsettGroup PAC ID 6800818154, 2 clinicians

Practice addresses (Care Compare)

1342 Roanoke Rd
Daleville, VA 24083-2571
Phone (540) 966-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001436VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Donald Dorsett Chiropractor CurrentSince Jan 24, 1996 Accepting new patients

Locations

1342 Roanoke Rd
Daleville, VA 24083
Phone (540) 563-5192

Organizations & group practices 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1376548339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "BUCHANAN",
            "state": "VA",
            "postal_code": "240661069",
            "telephone_number": "540-966-3003",
            "fax_number": "540-966-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832571",
            "telephone_number": "540-966-3003",
            "fax_number": "540-966-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BUCHANAN OFFICE",
            "identifier": "324842",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-ROANOKE OFFICE",
            "identifier": "283012",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.