Organization Active NPI

Todd Chiropractic, P.C.

  • Chiropractor
  • Galax, VA
National Provider Identifier
1891853776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1616 Issued in VA
Legal business name
TODD CHIROPRACTIC, P.C.
Practice address
8268 Carrollton Pike
Galax, VA 24333-6132
Phone
(276) 236-4878
Fax
(276) 238-9856
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Barton Fichtel, D.C.NPI 1710045695
Title
President
Phone
(276) 236-4878

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 1616 VA Primary

Addresses

Primary practice location

8268 Carrollton Pike
Galax, VA 24333-6132

Mailing address

8268 Carrollton Pike
Galax, VA 24333-6132
Phone (276) 236-4878

Other identifiers 1

IdentifierTypeStateIssuer
215104OtherVABLUE CROSS BLUE SHIELD #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121029000715 VA Part B Supplier - Clinic/Group Practice 9537319538 Receives reassigned benefits from 1 practitioner
Practice locations: Galax, VA

National Provider Directory

National Provider Directory

Locations

8268 Carrollton Pike
Galax, VA 24333
Phone (276) 236-4878

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891853776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8268 CARROLLTON PIKE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336132",
            "telephone_number": "276-236-4878",
            "fax_number": "276-238-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 CARROLLTON PIKE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336132",
            "telephone_number": "276-236-4878",
            "fax_number": "276-238-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FICHTEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-236-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "215104",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.