Bayside Chiropractic Rehab and Laser

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557185 Issued in VA

Legal business name

BAYSIDE CHIROPRACTIC REHAB AND LASER

Practice address

117 Mason Ave Ste F
Cape Charles, VA 23310-3135

Phone

(757) 331-1190

Fax

(757) 331-1260

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Janet Hooks Porter

Title

Business Owner

Phone

(757) 331-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Edward Bull III, D.C.

  • Chiropractor
  • Cape Charles, VA
  • NPI 1922028679
  Medicare reassignment NPD
• Scott D Banks, DC

  • Chiropractor
  • Cape Charles, VA
  • NPI 1255471058
  NPD (past)
• Laney Kay Wisniewski, D.C.

  • Chiropractor
  • Cape Charles, VA
  • NPI 1659792679
  NPD (past)
• Roxanne M Dziedzic, DC

  • Chiropractor
  • Alden, NY
  • NPI 1104868132
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1124425442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MASON AVE STE F",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103135",
            "telephone_number": "757-331-1190",
            "fax_number": "757-331-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MASON AVE STE F",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103135",
            "telephone_number": "757-331-1190",
            "fax_number": "757-331-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE CHIROPRACTIC REHAB AND LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "HOOKS",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "757-331-1190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Clarke Adams, LCSW
• Joycelyn Bailey
• Scott D Banks, DC
• Hamilton Lewis Bice, D.O.
• William Edward Bull III, D.C.
• Tashica S Burton
• Elizabeth Nicole Cabello, ATC
• Cindy Annelise Cade, MA CCC-SLP

• Chiropractor in Cape Charles, VA
• Providers in Cape Charles, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.