Charles Cavanaugh Hancock IV, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557715 Issued in VA

Practice address

2900 Polo Pkwy
Midlothian, VA 23113-1423

Phone

(804) 560-9355

NPI assigned

Jan 6, 2021

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Chiropractic, IncGroup PAC ID 8921195363, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Chiropractic, Inc

  • Chiropractor
  • Midlothian, VA
  • NPI 1447454277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1811585722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 POLO PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131423",
            "telephone_number": "804-560-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 POLO PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131423",
            "telephone_number": "804-560-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CHARLES",
        "middle_name": "CAVANAUGH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Hammock, PA-C
• Eric Dane Hampton, PHARMD
• Roderick Agee Hampton II, LPC, NCC
• Fei Han, NP
• Hana Integrative Wellness, LLC.
• Stephen S Handley
• Paige M Hanger, D.C.
• Leigh Hanley, NP
• Brian W Hanrahan, MD
• Christen Worthington Hansel, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.