Individual provider Active NPI

Joseph Gerald Dockery, D.C.

  • Chiropractor
  • Staunton, VA
National Provider Identifier
1578632709
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000236 Issued in VA
Practice address
1410 Churchville Ave
Staunton, VA 24401-1718
Phone
(540) 886-0010
Fax
(540) 886-0045
NPI assigned
Nov 6, 2006
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000236 VA Primary
Chiropractor 111N00000X X011945 NY

Addresses

Primary practice location

1410 Churchville Ave
Staunton, VA 24401-1718

Mailing address

1410 Churchville Ave
Staunton, VA 24401-1718
Phone (540) 886-0010

Other identifiers 1

IdentifierTypeStateIssuer
323226OtherVAANTHEM

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

State licenses

LicenseStateTypeSpecialty
X011945NYMDChiropractor
0104000236VAMDChiropractor
011945NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dockery Clinic, LLC Chiropractor PastSince Jan 1, 2010 Accepting new patients
Dr. David Thomashow Past Accepting new patients
Rizzo Health Solutions, LLC Chiropractor PastSince Oct 1, 2012 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1578632709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CHURCHVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244011718",
            "telephone_number": "540-886-0010",
            "fax_number": "540-886-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CHURCHVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244011718",
            "telephone_number": "540-886-0010",
            "fax_number": "540-886-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "JOSEPH",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000236",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "323226",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.