Atlas Specific Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556353 Issued in VA

Legal business name

ATLAS SPECIFIC CHIROPRACTIC

Practice address

640 Denbigh Blvd Ste 4
Newport News, VA 23608-4485

Phone

(757) 283-6929

Fax

(757) 283-6931

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renata Anna Kowal, D.C.NPI 1770576738

Title

Owner

Phone

(757) 283-6929

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renata Anna Kowal, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1770576738
  Medicare reassignment Care Compare group Authorized official
• Charity Choice, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1962271148
  Medicare reassignment Care Compare group NPD
• Rhonda K Huff, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1306604780
  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114066917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 DENBIGH BLVD STE 4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084485",
            "telephone_number": "757-283-6929",
            "fax_number": "757-283-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DENBIGH BLVD STE 4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084485",
            "telephone_number": "757-283-6929",
            "fax_number": "757-283-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPECIFIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-283-6929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH DR. RENATA KOWAL",
            "identifier": "11281024",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. R. KOWAL",
            "identifier": "1770576738",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DR. E. MIERZEJEW",
            "identifier": "00W657A02",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN DR. E. MIERZEJEWSKI",
            "identifier": "U99608",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR. R. KOWAL",
            "identifier": "184653",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. E. MIERZEJEWSKI",
            "identifier": "1477540730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DR. R. KOWAL",
            "identifier": "00W658A01",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH DR. E. MIERZEJEWSKI",
            "identifier": "11501696",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Newport News, VA
• Providers in Newport News, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.