NPIMap

Organization Active NPI

Virginia Sport & Spine Institute LLC

  • Chiropractor
  • Forest, VA
National Provider Identifier
1902396054
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556303 Issued in VA
Legal business name
VIRGINIA SPORT & SPINE INSTITUTE LLC
Practice address
2203 Graves Mill Rd Ste a
Forest, VA 24551
Phone
(434) 851-0091
NPI assigned
May 15, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Dr. Jeffrey Lowes, DCNPI 1497824056
Title
President
Phone
(434) 851-0091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104556303 VA Primary

Addresses

Primary practice location

2203 Graves Mill Rd Ste a
Forest, VA 24551

Mailing address

PO Box 1128
Forest, VA 24551-5128
Phone (434) 851-0091

National Provider Directory

National Provider Directory

Locations

2011 Enterprise Dr
Forest, VA 24551
Phone (434) 851-0091

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1902396054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515128",
            "telephone_number": "434-851-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 GRAVES MILL RD STE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-851-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SPORT & SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "LOWES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-851-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.