122 CHIROPRACTIC CORP.
NPI 1831790351
Chiropractor in Moneta, VA
About 122 Chiropractic Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
122 CHIROPRACTIC CORP. (NPI 1831790351) is a healthcare organization registered as a chiropractor in Moneta, Virginia and active in the NPI registry since November 2020. The organization lists Samantha Jordan, Chiropractor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
122 Chiropractic Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to 122 Chiropractic Corp., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 122 Chiropractic Corp.'s NPI number?
The NPI number for 122 Chiropractic Corp. is 1831790351. It was assigned to this organization in the NPPES registry on November 2, 2020.
Where is 122 Chiropractic Corp. located?
122 Chiropractic Corp. is located at 13850 Booker T Washington Hwy, Moneta, VA 24121. The listed phone number is (941) 713-1392.
What is 122 Chiropractic Corp.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is 122 Chiropractic Corp. enrolled in Medicare?
Yes. 122 Chiropractic Corp. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 122 Chiropractic Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to 122 Chiropractic Corp.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 122 Chiropractic Corp. was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 122 Chiropractic Corp. · NPI 1831790351
Chiropractor organization in Moneta, Virginia. Organization record, active in the CMS NPPES registry since November 2, 2020.
## Identity
- **NPI:** 1831790351 (Entity type: Organization)
- **Enumerated:** November 2, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Samantha Jordan, CHIROPRACTOR/OWNER
## Practice location
- **Address:** 13850 BOOKER T WASHINGTON HWY, Moneta, VA 24121-6205
- **Phone:** (941) 713-1392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1831790351) · Data from the CMS NPPES public registry.