Organization Active NPI

Farmville Family Chiropractic, PC

  • Chiropractor
  • Farmville, VA
National Provider Identifier
1700038916
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556113 Issued in VA
Legal business name
FARMVILLE FAMILY CHIROPRACTIC, PC
Practice address
1403 Milnwood Rd
Farmville, VA 23901-2580
Phone
(434) 392-3131
Fax
(434) 392-3133
NPI assigned
Oct 21, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Travis Arnold Johnson, D.C.NPI 1023108990
Title
President/ Owner
Phone
(434) 392-3131

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
Chiropractor 111N00000X 0104556113 VA Primary

Addresses

Primary practice location

1403 Milnwood Rd
Farmville, VA 23901-2580

Mailing address

1403 Milnwood Rd
Farmville, VA 23901-2580
Phone (434) 392-3131

Other identifiers 1

IdentifierTypeStateIssuer
1023108990OtherVAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000593 VA Part B Supplier - Clinic/Group Practice 9032271093 Receives reassigned benefits from 1 practitioner
Practice locations: Farmville, VA

National Provider Directory

National Provider Directory

Locations

1403 Milnwood Rd
Farmville, VA 23901
Phone (434) 392-3131

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1700038916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MILNWOOD RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012580",
            "telephone_number": "434-392-3131",
            "fax_number": "434-392-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MILNWOOD RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012580",
            "telephone_number": "434-392-3131",
            "fax_number": "434-392-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMVILLE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "434-392-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023108990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.