Accident and Injury Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001567 Issued in VA

Legal business name

ACCIDENT AND INJURY CHIROPRACTIC PC

Practice address

Accident and Injury Chiropractic PC
20385 Virgil H Goode Hwy Ste 1
Rocky Mount, VA 24151

Phone

(540) 334-5571

Fax

(540) 334-5289

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Kyle Shackelford, DCNPI 1831209402

Title

Owner Pres

Phone

(540) 334-5571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Richard Kyle Shackelford, DC

  • Chiropractor
  • Rocky Mt, VA
  • NPI 1831209402
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952476244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACCIDENT AND INJURY CHIROPRACTIC PC",
            "address_2": "20385 VIRGIL H GOODE HWY STE 1",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-334-5571",
            "fax_number": "540-334-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACCIDENT AND INJURY CHIROPRACTIC PC",
            "address_2": "20385 VIRGIL H GOODE HWY STE 1",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-334-5571",
            "fax_number": "540-334-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT AND INJURY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "540-334-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Michelle Acosta, SBD
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• Agape Consultant Services LLC
• Agenacare Urgent Care

• Chiropractor in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Chiropractor in Virginia

• 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.