Organization Active NPI

Stine Chiropractic Clinic

  • Orthopedic Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1376588756
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
0104000612 Issued in VA
Legal business name
STINE CHIROPRACTIC CLINIC
Practice address
117 Redwood Drive
Fredericksburg, VA 22408
Phone
(540) 898-4100
Fax
(540) 898-9004
NPI assigned
Jun 18, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Larry L. Stine, D.C.NPI 1255330056
Title
Owner
Phone
(540) 898-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 0104000612 VA Primary

Addresses

Primary practice location

117 Redwood Drive
Fredericksburg, VA 22408

Mailing address

117 Redwood Drive
Fredericksburg, VA 22408
Phone (540) 898-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000553 VA Part B Supplier - Clinic/Group Practice 5294831152 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

117 Redwood Dr
Fredericksburg, VA 22408
Phone (540) 898-4100

Practitioners & affiliated clinicians

Practitioners 3

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1376588756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 REDWOOD DRIVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-898-4100",
            "fax_number": "540-898-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 REDWOOD DRIVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-898-4100",
            "fax_number": "540-898-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STINE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-898-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "0104000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.