Individual provider Active NPI

Mark Hundley, D.C.

  • Chiropractor
  • Christiansburg, VA
National Provider Identifier
1780679175
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01040002006 Issued in VA
Practice address
155 Walters Dr
Christiansburg, VA 24073-1041
Phone
(540) 382-3333
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01040002006 VA Primary

Addresses

Primary practice location

155 Walters Dr
Christiansburg, VA 24073-1041

Mailing address

155 Walters Dr
Christiansburg, VA 24073-1041
Phone (540) 382-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000199 VA Practitioner - Chiropractic 0840470654 Practice locations: Christiansburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 Walters Dr
Christiansburg, VA 24073-1041
Phone (540) 382-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01040002006VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hundley Chiropractic and Sports Medicine, Inc. Chiropractor Current Accepting new patients

Locations

155 Walters Dr
Christiansburg, VA 24073
Phone (540) 382-3333

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1780679175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WALTERS DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731041",
            "telephone_number": "540-382-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WALTERS DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731041",
            "telephone_number": "540-382-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "MARK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01040002006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.