Virginia Chiropractic and Natural Health Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555884 Issued in VA

Legal business name

VIRGINIA CHIROPRACTIC AND NATURAL HEALTH CENTER INC.

Practice address

6 Ebco Circle
Waynesboro, VA 22980

Phone

(540) 946-2311

Fax

(540) 946-2312

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stacy S. Clark, D.C.NPI 1801841606

Title

President

Phone

(540) 946-2311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Suzanne Clark, D.C.

  • Chiropractor
  • Waynesboro, VA
  • NPI 1801841606
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1922215565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EBCO CIRCLE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-946-2311",
            "fax_number": "540-946-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EBCO CIRCLE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-946-2311",
            "fax_number": "540-946-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CHIROPRACTIC AND NATURAL HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-946-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.