Organization Active NPI

Blue Ridge Chiropractic & Acupuncture, LLC

  • Chiropractor
  • Purcellville, VA
National Provider Identifier
1508902958
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001972 Issued in VA
Legal business name
BLUE RIDGE CHIROPRACTIC & ACUPUNCTURE, LLC
Practice address
205 E Hirst Rd
Suite 102
Purcellville, VA 20132-6198
Phone
(540) 338-3190
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Christina M Vanderhurst, DCNPI 1578518460
Title
Vice President
Phone
(540) 338-3190

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001972 VA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001973 VA

Addresses

Primary practice location

205 E Hirst Rd
Suite 102
Purcellville, VA 20132-6198

Mailing address

205 E Hirst Rd
Suite 102
Purcellville, VA 20132-6198
Phone (540) 338-3190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000305 VA Part B Supplier - Clinic/Group Practice 8123270519 Receives reassigned benefits from 2 practitioners
Practice locations: Purcellville, VA

National Provider Directory

National Provider Directory

Locations

205 Hirst Rd
Ste 102
Purcellville, VA 20132
Phone (540) 338-3190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1508902958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HIRST RD",
            "address_2": "SUITE 102",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326198",
            "telephone_number": "540-338-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E HIRST RD",
            "address_2": "SUITE 102",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326198",
            "telephone_number": "540-338-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE CHIROPRACTIC & ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "VANDERHURST",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "540-338-3190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001972",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.