Organization Active NPI

Island Chiropractic

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1093044679
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000727 Issued in VA
Legal business name
ISLAND CHIROPRACTIC
Practice address
2260 Seashore Shoppes
Virginia Beach, VA 23451-1364
Phone
(757) 496-3353
Fax
(757) 496-9247
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. John Thomas White, D.C.
Title
President
Phone
(757) 496-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000727 VA Primary

Addresses

Primary practice location

2260 Seashore Shoppes
Virginia Beach, VA 23451-1364

Mailing address

2260 Seashore Shoppes
Virginia Beach, VA 23451-1364
Phone (757) 496-3353

Other identifiers 1

IdentifierTypeStateIssuer
049868OtherVABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1093044679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 SEASHORE SHOPPES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511364",
            "telephone_number": "757-496-3353",
            "fax_number": "757-496-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 SEASHORE SHOPPES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511364",
            "telephone_number": "757-496-3353",
            "fax_number": "757-496-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-496-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "049868",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.