Clarksville Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000378 Issued in VA

Legal business name

CLARKSVILLE CHIROPRACTIC CENTER PC

Practice address

914 Virginia Avenue
C
Clarksville, VA 23927-0933

Phone

(434) 374-2143

Fax

(434) 374-8017

NPI assigned

Oct 12, 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. Richard L Brown, DCNPI 1124271358

Title

President

Phone

(434) 374-2143

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Richard L Brown, DC//1940

  • Independent Medical Examiner Chiropractor
  • Clarksville, VA
  • NPI 1124271358
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598854820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239270933",
            "telephone_number": "434-374-2143",
            "fax_number": "434-374-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 VIRGINIA AVENUE",
            "address_2": "C",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239270933",
            "telephone_number": "434-374-2143",
            "fax_number": "434-374-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-374-2143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "061497",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Brown, DC//1940
• Sabrina Bullock, L.M.
• Sara Elizabeth Callahan, LPTA
• Beverly Y. Chestnutt, LCSW
• Marah Christine Clarkson, LPTA
• Clarksville Community Pharmacy, Inc.
• Clarksville Counseling Center, PLC
• Clarksville Health & Rehab Center, LLC
• Clarksville Senior Care, LLC (MeadowView Terrace)
• Clarksville Senior Care, LLC (Sentara MeadowView Terrace)

• Chiropractor in Clarksville, VA
• Providers in Clarksville, 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.