NPIMap

Organization Active NPI

Smith Mountain Lake Chiropractic Center P.C.

  • Clinic/Center
  • Moneta, VA
National Provider Identifier
1750406302
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0104000790 Issued in VA
Legal business name
SMITH MOUNTAIN LAKE CHIROPRACTIC CENTER P.C.
Practice address
15388 Moneta Rd
Moneta, VA 24121-5876
Phone
(540) 297-1085
NPI assigned
Mar 20, 2007
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dr. James Andrew Schaible, DCNPI 1528116688
Title
Chiropractor President
Phone
(540) 297-1085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0104000790 VA Primary

Addresses

Primary practice location

15388 Moneta Rd
Moneta, VA 24121-5876

Mailing address

15388 Moneta Rd
Moneta, VA 24121-5876
Phone (540) 297-1085

Other identifiers 2

IdentifierTypeStateIssuer
326840OtherVA1
0004631055OtherVA2

National Provider Directory

National Provider Directory

Locations

15388 Moneta Rd
Moneta, VA 24121
Phone (540) 297-1085

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1750406302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15388 MONETA RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215876",
            "telephone_number": "540-297-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15388 MONETA RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215876",
            "telephone_number": "540-297-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MOUNTAIN LAKE CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHAIBLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
        "authorized_official_telephone_number": "540-297-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104000790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "326840",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2",
            "identifier": "0004631055",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moneta, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.