Individual provider Active NPI

Stephen Hussey, D.C.

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1750750915
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557332 Issued in VA
Practice address
2110 Carolina Ave SW
Roanoke, VA 24014-1738
Phone
(540) 343-0055
Fax
(540) 343-0056
NPI assigned
Sep 17, 2015
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557332 VA Primary

Addresses

Primary practice location

2110 Carolina Ave SW
Roanoke, VA 24014-1738

Mailing address

2110 Carolina Ave SW
Roanoke, VA 24014-1738
Phone (540) 343-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718003125 VA Practitioner - Chiropractic 8729398706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557332VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daleville Chiropractic Inc Chiropractor CurrentSince Oct 15, 2021 Accepting new patients

Locations

133 Commons Pkwy
Daleville, VA 24083
Phone (540) 591-3430

60 Meadow View Ave
Rocky Mount, VA 24151
Phone (540) 420-8560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1750750915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CAROLINA AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141738",
            "telephone_number": "540-343-0055",
            "fax_number": "540-343-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CAROLINA AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141738",
            "telephone_number": "540-343-0055",
            "fax_number": "540-343-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.