Active NPI
Edist Jeems Love, DC
- Chiropractor
- Kilmarnock, VA
National Provider Identifier
1376568071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0004485505
- Practice address
- 351 S Main St
Kilmarnock, VA 22482 - Phone
- (804) 435-3333
- Fax
- (804) 435-1933
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0004485505 | VA | Primary |
Addresses
Primary practice location
351 S Main St
Kilmarnock, VA 22482
Mailing address
PO Box 1447
Kilmarnock, VA 22482
Phone (804) 435-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
351 S Main St
Kilmarnock, VA 22482-1447
Phone (804) 435-3333
Hospital & facility affiliations
- Rappahannock General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.75 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004485505 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Neck Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
351 S Main St
Kilmarnock, VA 22482
Phone (804) 435-3333
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.
-
- Chiropractor
- Kilmarnock, VA
- NPI 1184844995
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kilmarnock, VA
- NPI 1699125526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376568071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1447",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "22482",
"telephone_number": "804-435-3333",
"fax_number": "804-435-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S MAIN ST",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "22482",
"telephone_number": "804-435-3333",
"fax_number": "804-435-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "EDIST",
"middle_name": "JEEMS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0004485505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilmarnock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.