NPIMap

Organization Active NPI

Advanced Chiropractic PC

  • Chiropractor
  • Danville, VA
National Provider Identifier
1396963591
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001140 Issued in VA
Legal business name
ADVANCED CHIROPRACTIC PC
Practice address
5000 Riverside Dr
Suite C
Danville, VA 24541-5641
Phone
(434) 822-2222
Fax
(434) 822-2101
NPI assigned
Apr 23, 2007
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Linda Ann Blackmore, DCNPI 1487871745
Title
Owner Operator
Phone
(434) 822-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001140 VA Primary

Addresses

Primary practice location

5000 Riverside Dr
Suite C
Danville, VA 24541-5641

Mailing address

5000 Riverside Dr
Suite C
Danville, VA 24541-5641
Phone (434) 822-2222

Other identifiers 4

IdentifierTypeStateIssuer
134162OtherVAGATEWAY
288977OtherVAMAMSI
216628OtherVAANTHEM
350053242OtherVAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

5000 Riverside Dr
Ste C
Danville, VA 24541
Phone (434) 822-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1396963591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE DR",
            "address_2": "SUITE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415641",
            "telephone_number": "434-822-2222",
            "fax_number": "434-822-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE DR",
            "address_2": "SUITE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415641",
            "telephone_number": "434-822-2222",
            "fax_number": "434-822-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "BLACKMORE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "434-822-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "134162",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "288977",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "216628",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350053242",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.