NPIMap

Organization Active NPI

Becker Clinic LTD

Doing business as Becker Clinic of Chiropractic

  • Chiropractor
  • Rocky Mount, VA
National Provider Identifier
1912065277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001220 Issued in VA
Legal business name
BECKER CLINIC LTD
Doing business as
Becker Clinic of Chiropractic
Practice address
1533 Franklin Street
Rocky Mount, VA 24151
Phone
(540) 483-4444
Fax
(540) 483-3601
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Douglas Glenn Payne, DC
Title
Chiropractor
Phone
(540) 483-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001220 VA Primary

Addresses

Primary practice location

1533 Franklin Street
Rocky Mount, VA 24151

Mailing address

1533 Franklin Street
Rocky Mount, VA 24151
Phone (540) 483-4444

Other identifiers 2

IdentifierTypeStateIssuer
142471OtherVAANTHEM
CL8301OtherGARAILROAD MEDICARE

Other names 1

  • Becker Clinic of Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1533 Franklin St
Rocky Mount, VA 24151
Phone (540) 483-4444

Practitioners & affiliated clinicians

Practitioners 5

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912065277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 FRANKLIN STREET",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-483-4444",
            "fax_number": "540-483-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 FRANKLIN STREET",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-483-4444",
            "fax_number": "540-483-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "540-483-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "142471",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL8301",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.