Organization Active NPI

Dr. K. Michael King Chriopractor PLLC

Doing business as Health4Life

  • Nutrition Chiropractor
  • Luray, VA
National Provider Identifier
1952332363
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104556076 Issued in VA
Legal business name
DR. K. MICHAEL KING CHRIOPRACTOR PLLC
Doing business as
Health4Life
Practice address
1137 E Main St
Luray, VA 22835-1683
Phone
(540) 743-3333
Fax
(540) 743-1425
NPI assigned
Jul 5, 2006
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. Keith Michael King, DCNPI 1568401818
Title
Owner/Provider
Phone
(540) 743-3333

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
Nutrition Chiropractor 111NN1001X 0104556076 VA Primary

Addresses

Primary practice location

1137 E Main St
Luray, VA 22835-1683

Mailing address

1137 E Main St
Luray, VA 22835-1683
Phone (540) 743-3333

Other identifiers 1

IdentifierTypeStateIssuer
116152OtherVAANTHEM GROUP #

Other names 1

  • Health4Life Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000698 VA Part B Supplier - Clinic/Group Practice 5698707370 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisonburg, VA; Luray, VA

National Provider Directory

National Provider Directory

Locations

1137 E Main St
Luray, VA 22835
Phone (540) 743-3333

35 E Main St
Luray, VA 22835
Phone (540) 743-3333

Practitioners & affiliated clinicians

Practitioners 2

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1952332363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 E MAIN ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351683",
            "telephone_number": "540-743-3333",
            "fax_number": "540-743-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 E MAIN ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351683",
            "telephone_number": "540-743-3333",
            "fax_number": "540-743-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K. MICHAEL KING CHRIOPRACTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "540-743-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104556076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "116152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health4Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health4Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luray, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.