Active NPI
Dorothy A. Fensterer, D.C.
- Chiropractor
- South Boston, VA
National Provider Identifier
1881672467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001067
- Practice address
- 1993 Hamilton Blvd
Suite a
South Boston, VA 24592-2146 - Phone
- (434) 575-5130
- Fax
- (434) 575-7570
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001067 | VA | Primary |
Addresses
Primary practice location
1993 Hamilton Blvd
Suite a
South Boston, VA 24592-2146
Mailing address
1993 Hamilton Blvd
Suite a
South Boston, VA 24592-2146
Phone (434) 575-5130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-1404-4 | Medicaid | VA | |
| 251748 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1993 Hamilton Blvd
Suite a
South Boston, VA 24592-2146
Phone (434) 575-5130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001067 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Degraw Chiropractic Center, Inc | Chiropractor | Current | Accepting new patients |
Locations
1993 Hamilton Blvd
Ste A
South Boston, VA 24592
Phone (434) 575-5130
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.
-
- Chiropractor
- South Boston, VA
- NPI 1093877474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1881672467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 HAMILTON BLVD",
"address_2": "SUITE A",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922146",
"telephone_number": "434-575-5130",
"fax_number": "434-575-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1993 HAMILTON BLVD",
"address_2": "SUITE A",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922146",
"telephone_number": "434-575-5130",
"fax_number": "434-575-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENSTERER",
"first_name": "DOROTHY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-1404-4",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "251748",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.