Individual provider Active NPI

Sandra Kay Dales, CHIROPRACTOR

  • Chiropractor
  • Bluefield, VA
National Provider Identifier
1679672349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01040001898 Issued in VA
Practice address
14 Westwood Medical Park
Building #9
Bluefield, VA 24605-2000
Phone
(276) 326-3852
Fax
(276) 322-3308
NPI assigned
Sep 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01040001898 VA Primary

Addresses

Primary practice location

14 Westwood Medical Park
Building #9
Bluefield, VA 24605-2000

Mailing address

14 Westwood Medical Park
Building #9
Bluefield, VA 24605-2000
Phone (276) 326-3852

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01040001898VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dales Chiropractic, PC Chiropractor CurrentSince Feb 6, 2001 Accepting new patients

Locations

111A Saunders Ln
Bluefield, VA 24605
Phone (276) 326-3852

14 Westwood Medical Park
Bldg 9
Bluefield, VA 24605
Phone (276) 326-3852

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679672349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WESTWOOD MEDICAL PARK",
            "address_2": "BUILDING #9",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-326-3852",
            "fax_number": "276-322-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTWOOD MEDICAL PARK",
            "address_2": "BUILDING #9",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-326-3852",
            "fax_number": "276-322-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALES",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01040001898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.