Michael Whalen
Individual provider Active NPI Chiropractor · Virginia Beach, VA
NPI 1033149604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033149604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104001461 (VA)
- Practice address
- 1427 N Great Neck Rd
Virginia Beach, VA 23454-1300 - Phone
- (757) 496-3229
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1427 N Great Neck Rd
Suite 103
Virginia Beach, VA 23454-1300
Phone (757) 496-3229
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110518000209 | VA | Practitioner - Chiropractic | 3072799568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001461 | VA | MD | Chiropractor |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine II Chiropractic P.C. | Chiropractor | Current |
Accepting new patients |
| Hilltop Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
1427 N Great Neck Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 496-3229
1427 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 496-3229
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001461 | VA | Yes |
Addresses
Primary practice location
1427 N Great Neck Rd
Virginia Beach, VA 23454-1300
Mailing address
1427 N Great Neck Rd
Virginia Beach, VA 23454-1300
Phone (757) 496-3229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117878 | Other | VA | ANTHEM |
NPI Registry JSON
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033149604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 N GREAT NECK RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541300",
"telephone_number": "757-496-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 N GREAT NECK RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541300",
"telephone_number": "757-496-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "117878",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Westminster-Canterbury on Chesapeake Bay Foundation
- Sarah Elizabeth Weston
- Kristen Wexel
- Walter Karl Wexel
- Andrew Raphael Whalen
- Maryclaire Alexandra Wheatley
- Jennifer Carter Wheaton
- Abby Wheeler
- Courtney Todd Wheeler
- Jeanette Marie Wheeler
All providers in Virginia Beach, VA · Chiropractor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.