Active NPI
Nick Schapowal, D.C.
- Sports Physician Chiropractor
- Chesapeake, VA
National Provider Identifier
1124103700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104001133
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091612 | Other | VA | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001133 | VA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchard Square Chiropractic Inc | Current | 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.
-
- Chiropractor
- Chesapeake, VA
- NPI 1922374131
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.