BETHANY CARILLI, D.C., INC (NPI# 1225510076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225510076 |
Entity Type | Organization |
Organization Name | BETHANY CARILLI, D.C., INC |
Other Organization Name | COMMUNITY CHIROPRACTIC |
Practice Address |
800 Buffalo St Farmville VA 23901-1112 |
Mailing Address |
Po Box 371 Farmville VA 23901-0371 |
Practice Telephone | 4343155868 |
Practice Fax Number | 4343155989 |
Mailing Telephone | 4343155868 |
Mailing Fax Number | 4343155989 |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |
Authorized Official Name | DR. BETHANY CARILLI (CHIROPRACTOR) |
Authorized Official Telephone | 3306928891 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104557411 | VA | Chiropractic Providers |
Other Name | Type Code |
---|---|
Community Chiropractic | Doing Business As Name - Organization |
Street Address |
800 BUFFALO ST |
City | FARMVILLE |
State | VA |
Zip Code | 23901-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003000621 | Dennis Dullano | Chiropractor | 800 Buffalo St, Suite B, Farmville, VA 23901-1112 | 2007-08-28 |
1184159782 | Bethany Carilli | Chiropractor | 800 Buffalo St, Farmville, VA 23901-1112 | 2017-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
Find all providers in zip 23901 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467763037 | Shawn Paul Kendrick | Chiropractor | 1414w 3rd St, Farmville, VA 23901-2648 | 2010-06-28 |
1003000621 | Dennis Dullano | Chiropractor | 800 Buffalo St, Suite B, Farmville, VA 23901-1112 | 2007-08-28 |
1023210424 | Dr. William E. Deregibus PC | Chiropractor | 1414 W 3rd St, Farmville, VA 23901-2648 | 2007-06-05 |
1386705374 | Cecil Murray Walker IIi | Chiropractor | 7950 Hwy 258 N, Farmville, NC 27828 | 2006-12-13 |
1063590271 | Brad Everett Crawford | Chiropractor | 800 Buffalo St Suite B, Farmville, VA 23901 | 2006-11-02 |
1023108990 | Travis A Johnson | Chiropractor | 1403 Milnwood Rd, Farmville, VA 23901-2580 | 2006-10-13 |
1588764625 | Christopher Todd Loper | Chiropractor | 3826 S Main St, Farmville, NC 27828-8548 | 2006-09-25 |
1194760538 | William E Deregibus | Chiropractor | 709 High St, Farmville, VA 23901-1817 | 2006-06-19 |
1184159782 | Bethany Carilli | Chiropractor | 800 Buffalo St, Farmville, VA 23901-1112 | 2017-04-21 |
1780055517 | Shawn P Kendrick Dc Pllc | Chiropractor | 1414 W 3rd St, Farmville, VA 23901-2648 | 2015-10-20 |
Find all providers in FARMVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.