Organization Active NPI

Bailey Chiropractic and Wellness, PC

  • Chiropractor
  • Cedar Bluff, VA
National Provider Identifier
1417112681
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556496 Issued in VA
Legal business name
BAILEY CHIROPRACTIC AND WELLNESS, PC
Practice address
1100 Cedar Valley Dr Ste 2
Cedar Bluff, VA 24609-9247
Phone
(276) 964-9960
Fax
(276) 964-9964
NPI assigned
Jul 27, 2008
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Dr. Jared Lee Bailey, D. C.NPI 1366512303
Title
President
Phone
(276) 964-9960

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
Chiropractor 111N00000X 0104556496 VA Primary

Addresses

Primary practice location

1100 Cedar Valley Dr Ste 2
Cedar Bluff, VA 24609-9247

Mailing address

1100 Cedar Valley Dr Ste 2
Cedar Bluff, VA 24609-9247
Phone (276) 964-9960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000359 VA Part B Supplier - Clinic/Group Practice 0042384711 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Bluff, VA

National Provider Directory

National Provider Directory

Locations

1100 Cedar Valley Dr
Ste 2
Cedar Bluff, VA 24609
Phone (276) 964-9960

113 Short St
Ste 6
Pounding Mill, VA 24637
Phone (276) 345-9280

460 Front St
#B
Richlands, VA 24641
Phone (276) 964-9960

Practitioners & affiliated clinicians

Practitioners 1

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": "1217116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1417112681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CEDAR VALLEY DR STE 2",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099247",
            "telephone_number": "276-964-9960",
            "fax_number": "276-964-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CEDAR VALLEY DR STE 2",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099247",
            "telephone_number": "276-964-9960",
            "fax_number": "276-964-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY CHIROPRACTIC AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-27",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-964-9960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.