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

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.

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 IDStateProvider typePAC IDDetails
I20110518000209 VA Practitioner - Chiropractic 3072799568 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0104001461VAMDChiropractor

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Alpine II Chiropractic P.C. Chiropractor Current
since Jul 7, 1998
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
117878OtherVAANTHEM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Virginia Beach, VA · Chiropractor in Virginia

Sources for this page

Verify at the official NPI Registry.