Individual provider Active NPI

Richard William Reinhold, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1124118294
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001416 Issued in VA
Practice address
4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859
Phone
(757) 460-2522
Fax
(757) 460-3810
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001416 VA Primary

Addresses

Primary practice location

4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859

Mailing address

4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859
Phone (757) 460-2522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000805 VA Practitioner - Chiropractic 8123152147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Church Point Chiropractic PCGroup PAC ID 3779506969, 4 clinicians

Practice addresses (Care Compare)

524 Independence Blvd
Virginia Beach, VA 23462-2221
Phone (757) 745-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001416VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Church Point Chiropractic, PC Chiropractor CurrentSince Jan 1, 1996 Accepting new patients

Locations

1510 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (252) 347-5996

524 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 460-2522

4640 Shore Dr
Ste 108
Virginia Beach, VA 23455
Phone (757) 321-7776

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1124118294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 SHORE DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552859",
            "telephone_number": "757-460-2522",
            "fax_number": "757-460-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 SHORE DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552859",
            "telephone_number": "757-460-2522",
            "fax_number": "757-460-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHOLD",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001416",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2010; 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.