Meghan Ann Custer I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104002067 Issued in VA

Practice address

4422 Ivy Commons
Charlottesville, VA 22903-7123

Phone

(434) 817-3666

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivy Commons Family Chiropractic

  • Chiropractor
  • Charlottesville, VA
  • NPI 1558582544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1972506004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 IVY COMMONS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037123",
            "telephone_number": "434-825-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 IVY COMMONS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037123",
            "telephone_number": "434-817-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "MEGHAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ ALLIANCE",
            "identifier": "293442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "451931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "700027234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "011082000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS",
            "identifier": "1914401229",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew B Curry, MD
• Sarah Putnam Curry, NNP-BC
• Jacqueline Curtis, NP
• Kala Lynnmarie Curtis
• Michael Cusick, MD, MHSA
• Sandra Custodio, AG-PCNP
• Koli Cutler
• Noah Cutter, PT, DPT
• Cynthia K. Davis, LCSW, PLC
• Cynthia M. Yoshida MD PLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.