Commonwealth Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001637 Issued in VA

Legal business name

COMMONWEALTH CHIROPRACTIC CENTER, INC.

Practice address

3756 South Amherst Highway
Suite 100
Madison Heights, VA 24572

Phone

(434) 929-4999

Fax

(434) 929-4997

NPI assigned

Jul 29, 2008

Last updated

Aug 11, 2008By 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

Douglas R Fonteyne, DCNPI 1659464964

Title

President

Phone

(434) 929-4999

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Douglas R Fonteyne, D.C.

  • Chiropractor
  • Madison Heights, VA
  • NPI 1659464964
  Medicare reassignment NPD Authorized official
• Robert Arthur Stickle, DC

  • Nutrition Chiropractor
  • Lynchburg, VA
  • NPI 1861449266
  Medicare reassignment NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1710143854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SOUTH AMHERST HIGHWAY",
            "address_2": "SUITE 100",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "24572",
            "telephone_number": "434-929-4999",
            "fax_number": "434-929-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SOUTH AMHERST HIGHWAY",
            "address_2": "SUITE 100",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "24572",
            "telephone_number": "434-929-4999",
            "fax_number": "434-929-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "FONTEYNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-929-4999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "263552",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2995862",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350040203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Training Center
• Central Virginia Training Center
• Central Virginia Training Center
• Central Virginia Training Center
• Sherry Lu Coker, DDS
• Commonwealth of VA. Dept of Behavioral HLTH&Central VA Training Center (Central Virginia Training Cener)
• Commonwealth of VA. Dept.of Behavioral HLTH&Central VA. Training Cente (Central Virginia Training Center)
• Shannon Leigh Compton, O.D.
• Kevin M Cope, PT
• Margaret Coram

• Chiropractor in Madison Heights, VA
• Providers in Madison Heights, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.