Active NPI
Linda Ann Blackmore, DC
- Chiropractor
- Danville, VA
National Provider Identifier
1487871745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001140
- Practice address
- 5000 Riverside Dr
Suite C
Danville, VA 24541-5641 - Phone
- (434) 822-2222
- Fax
- (434) 822-2101
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288977 | Other | VA | MAMSI |
| 350053242 | Other | VA | MEDICARE RAILROAD |
| 134162 | Other | VA | GATEWAY |
| 216628 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1487871745",
"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": {
"last_name": "BLACKMORE",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "288977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350053242",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "134162",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "216628",
"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.