Organization Active NPI

Stover Chiropractic, P.C.

  • Chiropractor
  • Mechanicsville, VA
National Provider Identifier
1962620138
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001893 Issued in VA
Legal business name
STOVER CHIROPRACTIC, P.C.
Practice address
9097 Atlee Station Rd
Suite 118
Mechanicsville, VA 23116-2525
Phone
(804) 559-1100
Fax
(804) 559-9025
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Mr. Garnett E Stover III, D.C.NPI 1225079692
Title
President
Phone
(804) 559-1100

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001893 VA Primary

Addresses

Primary practice location

9097 Atlee Station Rd
Suite 118
Mechanicsville, VA 23116-2525

Mailing address

9097 Atlee Station Rd
Suite 118
Mechanicsville, VA 23116-2525
Phone (804) 559-1100

Other names 1

  • Stover Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000374 VA Part B Supplier - Clinic/Group Practice 7810156106 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

9097 Atlee Station Rd
Ste 118
Mechanicsvlle, VA 23116
Phone (804) 559-1100

9129 Dickey Dr
Mechanicsvlle, VA 23116
Phone (804) 559-1100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1962620138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 ATLEE STATION RD",
            "address_2": "SUITE 118",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162525",
            "telephone_number": "804-559-1100",
            "fax_number": "804-559-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 ATLEE STATION RD",
            "address_2": "SUITE 118",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162525",
            "telephone_number": "804-559-1100",
            "fax_number": "804-559-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "GARNETT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-559-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stover Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.