Organization Active NPI

John S Virga Dcpa

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1083994420
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6250 Issued in FL
Legal business name
JOHN S VIRGA DCPA
Practice address
4624 Hollywood Blvd Ste 206
Hollywood, FL 33021-6526
Phone
(305) 889-0889
Fax
(305) 889-1749
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Dr. John Scott Virga, DCNPI 1639394406
Title
President
Phone
(305) 889-0889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6250 FL Primary

Addresses

Primary practice location

4624 Hollywood Blvd Ste 206
Hollywood, FL 33021-6526

Mailing address

4624 Hollywood Blvd Ste 206
Hollywood, FL 33021-6526
Phone (305) 889-0889

Other practice location 1

3750 W 16th Ave Ste 134U
Hialeah, FL 33012-4661
Phone (305) 889-0889

Other identifiers 1

IdentifierTypeStateIssuer
22984MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907000757 FL Part B Supplier - Clinic/Group Practice 1850561572 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Hollywood, FL

National Provider Directory

National Provider Directory

Locations

4624 Hollywood Blvd
Ste 206
Hollywood, FL 33021
Phone (305) 889-0889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1083994420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "305-889-0889",
            "fax_number": "305-889-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "305-889-0889",
            "fax_number": "305-889-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 W 16th Ave Ste 134U",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124661",
            "country_code": "US",
            "telephone_number": "305-889-0889",
            "fax_number": "305-889-1749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN S VIRGA DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "VIRGA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-889-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22984",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.