Core Chiropractic and Wellness Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556233 Issued in VA

Legal business name

CORE CHIROPRACTIC AND WELLNESS CENTER, INC.

Doing business as

Core Chiropractic and Wellness

Practice address

16 W Church Ave
Roanoke, VA 24011-2002

Phone

(540) 344-1055

Fax

(540) 344-7964

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daryl Curtis Rich, D.C.NPI 1215959572

Title

President

Phone

(540) 344-1055

Specialties & licenses 1

Addresses

Other names 1

• Core Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daryl Curtis Rich, DC

  • Chiropractor
  • Roanoke, VA
  • NPI 1215959572
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1740575711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W CHURCH AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240112002",
            "telephone_number": "540-344-1055",
            "fax_number": "540-344-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W CHURCH AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240112002",
            "telephone_number": "540-344-1055",
            "fax_number": "540-344-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-344-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fredrick A Coots
• Fredrick A Coots Jr.
• Eva Lynn Copeland, D.M.D.
• Danielle Coppino, PA
• Richard Cordle, MD
• Ryan Thomas Corlett
• Stephanie Corn, MD, FAAP
• Lauren Cornett, MS
• Moises Rimmer Cossio, D.O.
• Angela Costa, D.O.

• 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 Jun 17, 2011; 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.