Organization Active NPI

John Stephen Eggleston, D.C., P.C.

  • Chiropractor
  • Danville, VA
National Provider Identifier
1841508447
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000855 Issued in VA
Legal business name
JOHN STEPHEN EGGLESTON, D.C., P.C.
Practice address
100 Vicar PL
Danville, VA 24540-1396
Phone
(434) 836-3506
Fax
(434) 836-2407
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
John S. Eggleston, D.C.NPI 1154329217
Title
President
Phone
(434) 836-3506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000855 VA Primary

Addresses

Primary practice location

100 Vicar PL
Danville, VA 24540-1396

Mailing address

100 Vicar PL
Danville, VA 24540-1396
Phone (434) 836-3506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000978 VA Part B Supplier - Clinic/Group Practice 4789870395 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1841508447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VICAR PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401396",
            "telephone_number": "434-836-3506",
            "fax_number": "434-836-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VICAR PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401396",
            "telephone_number": "434-836-3506",
            "fax_number": "434-836-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STEPHEN EGGLESTON, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-836-3506",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.