Roanoke Chiropractic Services, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556880 Issued in VA

Legal business name

ROANOKE CHIROPRACTIC SERVICES, PLLC

Practice address

4118C Franklin Rd SW
Roanoke, VA 24014-5266

Phone

(540) 776-0020

Fax

(540) 776-0025

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By 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. Timothy R Willson, D.C.NPI 1720362809

Title

Manager

Phone

(540) 776-0020

Specialties & licenses 1

Addresses

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.

• Timothy R Willson, D.C.

  • Chiropractor
  • Roanoke, VA
  • NPI 1720362809
  Authorized official Same address or phone

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1649541822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118C FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145266",
            "telephone_number": "540-776-0020",
            "fax_number": "540-776-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118C FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145266",
            "telephone_number": "540-776-0020",
            "fax_number": "540-776-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE CHIROPRACTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-776-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roanoke Adult Medicine LLC
• Roanoke Airport Transportation Service Inc
• Roanoke Ambulatory Surgery Center, LLC (Roanoke Ambulatory Surgery Center)
• Roanoke Birth and Perinatal Center
• Roanoke Breast Care, Inc
• Roanoke City Health Department
• Roanoke City Public Schools
• Roanoke Counseling, LLC
• Roanoke County Board of Supervisors
• Roanoke County Public Schools

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

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