Radford Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001581 Issued in VA

Legal business name

RADFORD CHIROPRACTIC CLINIC LLC

Practice address

601 3Rd St
Radford, VA 24141-1409

Phone

(540) 731-3842

Fax

(540) 731-9452

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Philip E Cooley, D.C.NPI 1548385164

Title

Sole Member

Phone

(540) 731-3842

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.

• Philip E. Cooley, D.C.

  • Chiropractor
  • Radford, VA
  • NPI 1548385164
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1992003834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3362",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241433362",
            "telephone_number": "540-731-3842",
            "fax_number": "540-731-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 3RD ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411409",
            "telephone_number": "540-731-3842",
            "fax_number": "540-731-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADFORD CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "540-731-3842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Blair Rabe, ED.D., LAT, ATC
• Radford City Schools
• Radford Counseling Group LLC
• Radford Drug Inc
• Radford Drug, Inc. T/a the Medicine Shoppe #1286
• Radford Family Dental, Inc.

• All providers in Radford, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.