Active NPI
Wade Quinn, D.C.
- Chiropractor
- Williamsburg, VA
National Provider Identifier
1063407435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000370
- Practice address
- 1318 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3382 - Phone
- (757) 253-1900
- Fax
- (757) 253-2900
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000370 | VA | Primary |
Addresses
Primary practice location
1318 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3382
Mailing address
1318 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3382
Phone (757) 253-1900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1063407435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 JAMESTOWN RD",
"address_2": "SUITE 102",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853382",
"telephone_number": "757-253-1900",
"fax_number": "757-253-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 JAMESTOWN RD",
"address_2": "SUITE 102",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853382",
"telephone_number": "757-253-1900",
"fax_number": "757-253-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "WADE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.