Individual provider Active NPI

Frank Arthur Pugh Jr., DC

  • Chiropractor
  • Chester, VA
National Provider Identifier
1780611186
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556461 Issued in VA
Practice address
2930BW Hundred Rd
Chester, VA 23831-2126
Phone
(804) 717-5881
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556461 VA Primary

Addresses

Primary practice location

2930BW Hundred Rd
Chester, VA 23831-2126

Mailing address

2930BW Hundred Rd
Chester, VA 23831-2126
Phone (804) 717-5881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000424 VA Practitioner - Chiropractic 8123029501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10002 Courtview LN
Suite 100
Chesterfield, VA 23832-6678
Phone (804) 717-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ironbridge Chiropractic Center, PLLC Chiropractor CurrentSince Oct 4, 2006 Accepting new patients

Locations

2930 W Hundred Rd
Chester, VA 23831
Phone (804) 717-5881

10002 Courtview Ln
#100
Chesterfield, VA 23832
Phone (804) 717-5881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1780611186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930BW HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312126",
            "telephone_number": "804-717-5881",
            "fax_number": "804-717-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930BW HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312126",
            "telephone_number": "804-717-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "FRANK",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.