Wave of Life Chiropractic Center

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

0104557053 Issued in VA

Legal business name

WAVE OF LIFE CHIROPRACTIC CENTER

Practice address

4640 Shore Dr
Ste 106
Virginia Beach, VA 23455-2859

Phone

(757) 358-0700

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Carly Swift, D.C.

Title

Owner/Chiropractor

Phone

(757) 358-0700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1053717538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 JEFFERSON BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 SHORE DR",
            "address_2": "STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552859",
            "telephone_number": "757-358-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE OF LIFE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "757-358-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "VA",
            "license": "0104557053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Watters
• Gabriella Mariana Watton
• Lindsey Morrone Watts
• Shaqirra Watts
• Xavier Watts
• Waves of Change Coalition LLC
• Waves Psychotherapy Services PC
• Joshua Alex Waxenbaum, DO
• Gary Jay Waxman, M.D.
• Javier Jimill Way, PMHNP-BC

• Pediatric Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatric Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.