Freedom Chiropractic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104002024 Issued in VA

Legal business name

FREEDOM CHIROPRACTIC L.L.C.

Practice address

360B Arbor Dr
Christiansburg, VA 24073-6544

Phone

(540) 381-8700

Fax

(540) 381-8700

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By 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. Mark Anthony Gentile, D.C.NPI 1912173527

Title

Manager

Phone

(540) 381-8700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Mark Anthony Gentile, D.C.

  • Orthopedic Chiropractor
  • Christiansburg, VA
  • NPI 1912173527
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588748347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360B ARBOR DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736544",
            "telephone_number": "540-381-8700",
            "fax_number": "540-381-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360B ARBOR DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736544",
            "telephone_number": "540-381-8700",
            "fax_number": "540-381-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-381-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER NUM",
            "identifier": "174753",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7196082",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn N Fouse, P.A.
• Nathan Callahan Foust, QMHA
• Free Clinic of the New River Valley
• Free Clinic of the New River Valley Inc (Montgomery Clinic)
• Free Clinic of the New River Valley Inc (Clinic Annex Montgomery)
• Freedom Support Services (New Directions Counseling)
• April Furrow
• Galax Treatment Center, LLC (Christiansburg Comprehensive Treatment Center)
• Makenzi Gallagher, OTR/L
• Dorry Lynn Gascon, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.