DR. WILLIAM BLAINE LIKINS III (NPI# 1164467577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164467577 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BLAINE LIKINS III |
| Credential | DC |
| Practice Address |
1084 Thomas Jefferson Rd Unit 12 Forest VA 24551-2275 |
| Mailing Address |
109 Trinity Ct Lynchburg VA 24502-5264 |
| Practice Telephone | 4345254588 |
| Practice Fax Number | 4345254514 |
| Mailing Telephone | 4345254588 |
| Mailing Fax Number | 4345254514 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104555971 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS | 461938 | 01 |
| Street Address |
1084 THOMAS JEFFERSON RD UNIT 12 |
| City | FOREST |
| State | VA |
| Zip Code | 24551-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548699341 | Kyle W. Wheeler, Dds, PC | Clinic/Center | 1084 Thomas Jefferson Rd, Suite 5, Forest, VA 24551-2298 | 2013-11-02 |
| 1427329309 | Forest Foot and Ankle Center | Podiatrist | 1084 Thomas Jefferson Rd, Suite 1, Forest, VA 24551-2298 | 2012-01-24 |
| 1760673636 | Chiropractic Care Center | Chiropractor | 1084 Thomas Jefferson Rd, Unit 12, Forest, VA 24551-2275 | 2007-08-06 |
| 1285647677 | Kyle Wesley Wheeler | Dentist | 1084 Thomas Jefferson Rd, Suite 5, Forest, VA 24551-2275 | 2006-08-15 |
| 1114951340 | Centra Health Professional Services, LLC | Internal Medicine | 1084 Thomas Jefferson Rd, Suite 10, Forest, VA 24551-2275 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| 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 |
|---|---|---|---|---|
| 1245405265 | Dr Todd M Macdowall PC | Chiropractor | 103 Annjo Ct, Forest, VA 24551 | 2008-04-30 |
| 1538332465 | Eady Chiropractic, P.a. | Chiropractor | 500 E Third St, Forest, MS 39074-4224 | 2008-04-11 |
| 1508982000 | Sean L Shull | Chiropractor | 306 B Enterprise Drive, Forest, VA 24551 | 2007-03-22 |
| 1629119045 | Accident & Injury Chiropractic Center, Inc. | Chiropractor | 306 Enterprise Dr Ste B, Forest, VA 24551-2644 | 2007-02-09 |
| 1174669014 | Tanzar Chiropractic Wellcare Center | Chiropractor | 1088 Vista Park Dr, Suite C, Forest, VA 24551-2761 | 2007-01-29 |
| 1497824056 | Jeffrey Lowes | Chiropractor | 2203 Graves Mill Rd Ste A, Forest, VA 24551 | 2006-11-07 |
| 1043396773 | Todd Mark Macdowall | Chiropractor | 103 Annjo Court, Forest, VA 24551 | 2006-10-27 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| 1679569263 | David Wimmer | Chiropractor | 2203 Graves Mill Rd, Suite E, Forest, VA 24551-4296 | 2005-09-20 |
| 1902396054 | Virginia Sport & Spine Institute LLC | Chiropractor | 2203 Graves Mill Rd Ste A, Forest, VA 24551 | 2018-05-15 |
| Find all providers in FOREST | ||||
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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.