Back and Neck Pain Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK AND NECK PAIN CENTER LLC

Practice address

1141 Memorial Blvd N
Martinsville, VA 24112-2429

Phone

(276) 632-3334

Fax

(276) 632-1882

NPI assigned

Oct 29, 2019

Last updated

Oct 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Japhet Divad Legrant, DCNPI 1588611933

Title

Owner

Phone

(276) 632-3334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Japhet Legrant, D.C.

  • Chiropractor
  • Rocky Mount, VA
  • NPI 1588611933
  Medicare reassignment NPD Authorized official
• Mathew Zane Hill, D.C.

  • Chiropractor
  • Martinsville, VA
  • NPI 1992882591
  NPD
• Cory Alan McKinley, D.C.

  • Chiropractor
  • Danville, VA
  • NPI 1376504431
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1437793932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 MEMORIAL BLVD N",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122429",
            "telephone_number": "276-632-3334",
            "fax_number": "276-632-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 MEMORIAL BLVD N",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122429",
            "telephone_number": "276-632-3334",
            "fax_number": "276-632-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "LEGRANT",
        "authorized_official_first_name": "JAPHET",
        "authorized_official_middle_name": "DIVAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-632-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Ashbrook, MS, CCC-A, FAAA03
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• Axxa Inc (Cavalier Pharmacare)
• Charles E Ayers, DDS
• Thabit M Bahhur, M.D.
• Valerie Mullins Baines, FNP
• Noel M Baker, M.D.
• Shyam Easwarapillai Balakrishnan, M.D
• Deepak D. Banerjee, MD

• Chiropractor in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.