Individual provider Active NPI

Patrick Raymond Patzer, D.C.,P.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1013003516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000389 Issued in VA
Practice address
901 First Colonial Road
Virginia Beach, VA 23454-3111
Phone
(757) 491-2021
Fax
(757) 428-2130
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

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 0104000389 VA Primary

Addresses

Primary practice location

901 First Colonial Road
Virginia Beach, VA 23454-3111

Mailing address

901 First Colonial Road
Virginia Beach, VA 23454-3111
Phone (757) 491-2021

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
0104000389VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltop Chiropractic LLC Chiropractor PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013003516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FIRST COLONIAL ROAD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543111",
            "telephone_number": "757-491-2021",
            "fax_number": "757-428-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FIRST COLONIAL ROAD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543111",
            "telephone_number": "757-491-2021",
            "fax_number": "757-428-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZER",
        "first_name": "PATRICK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.C.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, 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.