COMMONWEALTH CHIROPRACTIC CENTER, INC. (NPI# 1710143854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710143854 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CHIROPRACTIC CENTER, INC. |
| Practice Address |
3756 South Amherst Highway Suite 100 Madison Heights VA 24572 |
| Practice Telephone | 4349294999 |
| Practice Fax Number | 4349294997 |
| Mailing Telephone | 4349294999 |
| Mailing Fax Number | 4349294997 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DOUGLAS R FONTEYNE (PRESIDENT) |
| Authorized Official Telephone | 4349294999 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001637 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 263552 | 01 |
| VA | RAILROAD MEDICARE | 350040203 | 01 |
| VA | CIGNA | 2995862 | 01 |
| Street Address |
3756 SOUTH AMHERST HIGHWAY SUITE 100 |
| City | MADISON HEIGHTS |
| State | VA |
| Zip Code | 24572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544453 | Select Rehab | Assisted Living Facility | 268 Hilltop Dr, Madison Heights, VA 24572 | 2016-09-01 |
| 1740421031 | Deborah Lynch Fletcher | Nurse's Aide | 5068 South Amherst Hwy, Madison Heights, VA 24572 | 2009-03-16 |
| 1174689020 | Sunrise Adult Day Care Center | Durable Medical Equipment & Medical Supplies | 4830 South Amherst Hwy, Madison Heights, VA 24572 | 2006-12-28 |
| 1942385786 | Madison Heights Eye Care PC Optometrists | Optometrist | 5076 South Amherst Hwy, Madison Heights, VA 24572 | 2006-10-26 |
| 1710078183 | Patricia L Evans | Pharmacist | 521 Colony Rd Rt 210 East, Madison Heights, VA 24572 | 2006-09-28 |
| 1952407330 | Fredrick P Reynolds | Optometrist | 5076 S. Amherst Highway, Madison Heights, VA 24572 | 2006-09-15 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1891725370 | Amy N French | Social Worker | 3742 S Amherst Hwy, Madison Heights, VA 24572 | 2006-07-03 |
| 1730610841 | Janna Laverdiere | Dentist | 239 Trojan Rd, Madison Heights, VA 24572 | 2017-03-21 |
| 1922551621 | Central Virginia Family Physicians | Family Medicine | 118 Oakwood Dr, #a, Madison Heights, VA 24572 | 2016-07-28 |
| Find all providers in zip 24572 | ||||
| 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 |
|---|---|---|---|---|
| 1023521515 | Chiropractic Corrections Specialists LLC | Chiropractor | 28180 John R Rd Ste A, Madison Heights, MI 48071-2850 | 2017-11-07 |
| 1659464964 | Douglas R Fonteyne | Chiropractor | 3756 S. Amherst Hwy, 100, Madison Heights, VA 24572-5985 | 2006-10-02 |
| 1386672962 | Sehgal Chiropractic, Inc. | Chiropractor | 29273 Dequindre Rd, Madison Heights, MI 48071-4804 | 2006-06-30 |
| 1386618288 | Thomas Robert Fordiani | Chiropractor | 30201 Dequindre Rd, Madison Heights, MI 48071-2282 | 2006-02-15 |
| 1225038847 | Daniel Victor Tominello | Chiropractor | 1632 Millard Ave, Madison Heights, MI 48071-1040 | 2005-07-26 |
| 1902298201 | John Conflitti | Chiropractor | 28107 John R Rd, Madison Heights, MI 48071 | 2015-02-23 |
| 1205125580 | Jacobsen Chiropractic Clinic PC | Chiropractor | 30201 Dequindre Rd, Madison Heights, MI 48071-2284 | 2011-04-07 |
| 1235452707 | Reena Pathak | Chiropractor | 28780 John R Rd, Madison Heights, MI 48071-2800 | 2010-03-11 |
| 1972757185 | Matthew Bryan Cohen | Chiropractor | 28107 John R Rd, Madison Heights, MI 48071-2810 | 2008-11-14 |
| 1114117835 | Daniel V Tominello M.s., D.c., P.C. | Chiropractor | 1632 Millard Ave, Madison Heights, MI 48071-1040 | 2007-07-30 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 24572 |
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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.