Boothe Chirpractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555931 Issued in VA

Legal business name

BOOTHE CHIRPRACTIC CENTER, LLC

Practice address

340 N Main St
Suite 108
Marion, VA 24354-3360

Phone

(276) 783-7005

Fax

(276) 783-8080

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By 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

Dr. Samuel K Boothe, D.C.NPI 1689601569

Title

Owner/Chiropractor

Phone

(276) 783-7005

Specialties & licenses 1

Addresses

Interoperability endpoints

• Direct secure messaging: boothe@bcc0042.direct.chirotouch.md

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.

• Samuel Kenneth Boothe, DC

  • Chiropractor
  • Marion, VA
  • NPI 1689601569
  NPD Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1760858690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST",
            "address_2": "SUITE 108",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543360",
            "telephone_number": "276-783-7005",
            "fax_number": "276-783-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST",
            "address_2": "SUITE 108",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543360",
            "telephone_number": "276-783-7005",
            "fax_number": "276-783-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHE CHIRPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "276-783-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rachelle Blue, O.D.
• Emily Jane Bodfish
• David R Boehm, LCSW
• Kellie Bonsor, APRN, FNP-BC
• Boothe Chiropractic Clinic
• Samuel Kenneth Boothe, DC
• Karen Lynn Bordwine, FNP-BC
• Elizabeth A. Bradshaw, MS
• Emily Gatewood Buchanan Bralley, D.O.
• Erin Alice Brickley, D.O.

• Chiropractor in Marion, VA
• Providers in Marion, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.