Individual provider Active NPI

Nick Schapowal, D.C.

  • Sports Physician Chiropractor
  • Chesapeake, VA
National Provider Identifier
1124103700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001133 Issued in VA
Practice address
1528 Volvo Pkwy Ste C
Chesapeake, VA 23320-1514
Phone
(757) 547-1110
Fax
(757) 547-7740
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104001133 VA Primary

Addresses

Primary practice location

1528 Volvo Pkwy Ste C
Chesapeake, VA 23320-1514

Mailing address

1528 Volvo Pkwy Ste C
Chesapeake, VA 23320-1514
Phone (757) 547-1110

Other identifiers 1

IdentifierTypeStateIssuer
091612OtherVABC/BS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000245 VA Practitioner - Chiropractic 1759542384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1528 Volvo Pkwy
Suite C
Chesapeake, VA 23320-1514
Phone (757) 547-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001133VAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Square Chiropractic Inc CurrentSince Dec 1, 1993 Accepting new patients

Locations

1528 Volvo Pkwy
Ste C
Chesapeake, VA 23320
Phone (757) 547-1110

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124103700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 VOLVO PKWY STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201514",
            "telephone_number": "757-547-1110",
            "fax_number": "757-547-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 VOLVO PKWY STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201514",
            "telephone_number": "757-547-1110",
            "fax_number": "757-547-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAPOWAL",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "091612",
            "state": "VA"
        }
    ],
    "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 Jul 8, 2007; 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.