Organization Active NPI

Robert E. Wilson

Doing business as 1st Choice Chiropractic

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1023209590
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001917 Issued in VA
Legal business name
ROBERT E. WILSON
Doing business as
1st Choice Chiropractic
Practice address
164 George Washington Hwy S
Chesapeake, VA 23323-1701
Phone
(757) 558-8222
Fax
(757) 558-8225
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert E. Wilson, D.C.
Title
Owner
Phone
(757) 558-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001917 VA Primary

Addresses

Primary practice location

164 George Washington Hwy S
Chesapeake, VA 23323-1701

Mailing address

164 George Washington Hwy S
Chesapeake, VA 23323-1701
Phone (757) 558-8222

Other identifiers 1

IdentifierTypeStateIssuer
287393OtherVAANTHEM BC/BS

Other names 1

  • 1st Choice Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

164 George Washington Hwy S
Chesapeake, VA 23323
Phone (757) 558-8222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1023209590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GEORGE WASHINGTON HWY S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231701",
            "telephone_number": "757-558-8222",
            "fax_number": "757-558-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GEORGE WASHINGTON HWY S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231701",
            "telephone_number": "757-558-8222",
            "fax_number": "757-558-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-558-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "287393",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Choice Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.