Individual provider Active NPI

Suzanne M Santjer, DC

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1104898964
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000886 Issued in VA
Practice address
1932 Centerville Tpke S
Chesapeake, VA 23322-1905
Phone
(757) 650-9750
Fax
(833) 672-2766
NPI assigned
Feb 6, 2006
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000886 VA Primary

Addresses

Primary practice location

1932 Centerville Tpke S
Chesapeake, VA 23322-1905

Mailing address

1932 Centerville Tpke S
Chesapeake, VA 23322-1905
Phone (757) 642-3455

Other identifiers 3

IdentifierTypeStateIssuer
300730MedicaidVA
5689576OtherAETNA
433613OtherBLUS CROSS BLUE SHIELD VA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000116 VA Practitioner - Chiropractic 2567484264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1932 Centerville Tpke S
Chesapeake, VA 23322-1905
Phone (757) 642-3455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000886VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Chiropractic and Rehabilitation PC Chiropractor PastSince Jul 5, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1104898964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 CENTERVILLE TPKE S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221905",
            "telephone_number": "757-642-3455",
            "fax_number": "833-672-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 CENTERVILLE TPKE S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221905",
            "telephone_number": "757-650-9750",
            "fax_number": "833-672-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTJER",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5689576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUS CROSS BLUE SHIELD VA",
            "identifier": "433613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.