Individual provider Active NPI

Robert Arthur Stickle, DC

  • Nutrition Chiropractor
  • Lynchburg, VA
National Provider Identifier
1861449266
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104000146 Issued in VA
Practice address
20370 Timberlake Rd
Lynchburg, VA 24502-7213
Phone
(434) 239-2243
Fax
(434) 239-5374
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0104000146 VA Primary

Addresses

Primary practice location

20370 Timberlake Rd
Lynchburg, VA 24502-7213

Mailing address

20370 Timberlake Rd
Lynchburg, VA 24502-7213
Phone (434) 239-2243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000409 VA Practitioner - Chiropractic 1759334733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Health Center IncGroup PAC ID 3678526654, 3 clinicians

Practice addresses (Care Compare)

20370 Timberlake Rd
Lynchburg, VA 24502-7213
Phone (434) 234-2243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000146VAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center Inc CurrentSince Nov 26, 1976 Accepting new patients
Commonwealth Chiropractic Center, Inc. CurrentSince May 10, 2020 Accepting new patients

Locations

20370 Timberlake Rd
Lynchburg, VA 24502
Phone (434) 234-2243

3756 S Amherst Hwy
#100
Madison Heights, VA 24572
Phone (434) 929-4999

Organizations & group practices 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1861449266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027213",
            "telephone_number": "434-239-2243",
            "fax_number": "434-239-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027213",
            "telephone_number": "434-239-2243",
            "fax_number": "434-239-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLE",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104000146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.