Healthsource of Christiansburg, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556559 Issued in VA

Legal business name

HEALTHSOURCE OF CHRISTIANSBURG, PC

Practice address

128 Oak Tree Blvd.
Christiansburg, VA 24073-0000

Phone

(606) 407-1323

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By 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. John T Dickerson III, D.C.NPI 1487726576

Title

Chirpractor

Phone

(606) 407-1323

Specialties & licenses 1

Addresses

Locations

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.

• John Thomas Dickerson III, DC

  • Chiropractor
  • Christiansburg, VA
  • NPI 1487726576
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1841481165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OAK TREE BLVD.",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240730000",
            "telephone_number": "606-407-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OAK TREE BLVD.",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240730000",
            "telephone_number": "606-407-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF CHRISTIANSBURG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIRPRACTOR",
        "authorized_official_telephone_number": "606-407-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hastings Optical Co
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• Jenifer Lynne Haynes, CRNA
• Healing Tree Clinic (Healing Tree Acupuncture)
• Health in Chiropractic
• Healthstat on-Site Clinic/Montgomery County
• Hearing Aid Sales & Service, Inc (Anderson Audiology)
• Heart Specialists of Swva PC
• Allyson Glynn Hedge, LCSW
• Jonathan Hedrick, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.