Organization Active NPI

Kimble Chiropractic, LLC

  • Preferred Provider Organization
  • Winchester, VA
National Provider Identifier
1700042876
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0104556427 Issued in VA
Legal business name
KIMBLE CHIROPRACTIC, LLC
Practice address
2905 Northwestern Pike
Winchester, VA 22603-3824
Phone
(540) 667-8508
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Dr. Robert Brent Kimble II, D.C.
Title
Chiropractor
Phone
(540) 667-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0104556427 VA Primary

Addresses

Primary practice location

2905 Northwestern Pike
Winchester, VA 22603-3824

Mailing address

2905 Northwestern Pike
Winchester, VA 22603-3824
Phone (540) 667-8508

National Provider Directory

National Provider Directory

Locations

2905 Northwestern Pike
Winchester, VA 22603
Phone (540) 667-8508

33 Hunt Club Plz
Ridgeley, WV 26753
Phone (304) 726-4544

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1700042876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NORTHWESTERN PIKE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033824",
            "telephone_number": "540-667-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 NORTHWESTERN PIKE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033824",
            "telephone_number": "540-667-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "540-667-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0104556427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.