Organization Active NPI

Stephens City Chiropractic PLC

  • Medical Specialty Clinic/Center
  • Stephens City, VA
National Provider Identifier
1740579960
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0104001281 Issued in VA
Legal business name
STEPHENS CITY CHIROPRACTIC PLC
Practice address
5436 Main St
Stephens City, VA 22655-2829
Phone
(540) 869-3034
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Duane HudspathNPI 1174662076
Title
Officer
Phone
(540) 869-3034

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
Medical Specialty Clinic/Center 261QM2500X 0104001281 VA Primary

Addresses

Primary practice location

5436 Main St
Stephens City, VA 22655-2829

Mailing address

5436 Main St
Stephens City, VA 22655-2829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000471 VA Part B Supplier - Clinic/Group Practice 4981889540 Receives reassigned benefits from 1 practitioner
Practice locations: Stephens City, VA

National Provider Directory

National Provider Directory

Locations

5436 Main St
Stephens City, VA 22655
Phone (540) 869-3034

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1740579960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 MAIN ST",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 MAIN ST",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552829",
            "telephone_number": "540-869-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CITY CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HUDSPATH",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "540-869-3034"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0104001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.