NPIMap

Organization Active NPI

Christiansburg Family Practice,PC

  • Primary Care Clinic/Center
  • Christiansburg, VA
National Provider Identifier
1629035688
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101026426 Issued in VA
Legal business name
CHRISTIANSBURG FAMILY PRACTICE,PC
Practice address
6 Hickok St
Christiansburg, VA 24073-3524
Phone
(540) 382-6148
Fax
(540) 382-4191
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Kenneth E Jones, M.D.NPI 1679536866
Title
President
Phone
(540) 382-6148

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101026426 VA Primary

Addresses

Primary practice location

6 Hickok St
Christiansburg, VA 24073-3524

Mailing address

6 Hickok St
Christiansburg, VA 24073-3524
Phone (540) 382-6148

Other identifiers 8

IdentifierTypeStateIssuer
1733327OtherVAUNITED HEALTHCARE
C05193OtherVAMEDICARE
C05193OtherVAMEDICARE RAILROAD
4218482OtherVAAETNA PROVIDER NUMBER
76828OtherVASOUTHERN HEALTH PROVIDER
237816OtherVAMAMSI PROVIDER NUMBER
1515558OtherVAUMWA PROVIDER NUMBER
263539OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

6 Hickok St
Christiansburg, VA 24073
Phone (540) 382-6148

6 Hickok St
Fl 2
Christiansburg, VA 24073

Practitioners & affiliated clinicians

Practitioners 1

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629035688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HICKOK ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733524",
            "telephone_number": "540-382-6148",
            "fax_number": "540-382-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HICKOK ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733524",
            "telephone_number": "540-382-6148",
            "fax_number": "540-382-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANSBURG FAMILY PRACTICE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-382-6148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101026426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1733327",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C05193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C05193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4218482",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "76828",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "237816",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PROVIDER NUMBER",
            "identifier": "1515558",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "263539",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.