Individual provider Active NPI

Andrew James Farris, D.C.

  • Chiropractor
  • Abingdon, VA
National Provider Identifier
1992718548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556222 Issued in VA
Practice address
108 Reedy Creek Rd
Abingdon, VA 24210-2436
Phone
(276) 628-8006
Fax
(276) 628-6117
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556222 VA Primary

Addresses

Primary practice location

108 Reedy Creek Rd
Abingdon, VA 24210-2436

Mailing address

108 Reedy Creek Rd
Abingdon, VA 24210-2436
Phone (276) 628-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556222VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boothe Chiropractic Clinic Chiropractor PastSince May 20, 1997 Accepting new patients
Back Talk Chiropractic PSC Chiropractor Past Accepting new patients
Linton Spine & Joint Center, LLC Chiropractor PastSince Jul 1, 2011 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992718548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 REEDY CREEK RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102436",
            "telephone_number": "276-628-8006",
            "fax_number": "276-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 REEDY CREEK RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102436",
            "telephone_number": "276-628-8006",
            "fax_number": "276-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.