Princess One Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001829 Issued in VA

Legal business name

PRINCESS ONE CHIROPRACTIC PC

Practice address

3809 Princess Anne Rd Ste 117
Virginia Beach, VA 23456-1900

Phone

(757) 471-9008

Fax

(757) 965-6256

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Degiorgio, DCNPI 1457413106

Title

Owner

Phone

(757) 471-9008

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth Arthur Degiorgio, DC

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1457413106
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174725519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WINTERBERRY LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234535952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 PRINCESS ANNE RD STE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561900",
            "telephone_number": "757-471-9008",
            "fax_number": "757-965-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS ONE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGIORGIO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-471-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "3651805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PROVIDER",
            "identifier": "1842017",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROVIDER #",
            "identifier": "39060",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5698700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "102595",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE GROUP#",
            "identifier": "2442006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princess Anne ENT & Allergy, PC.
• Princess Anne H&R Ops Limited Partnership
• Princess Anne Psychological
• Princess Anne SNF LLC
• Princess Anne Surgery, P.C.
• Priority Home Healthcare of Virginia LLC
• Priority Transport Service LLC
• Lauren Curtis Priputin, M.S. CCC-SLP
• Prisma Wellness, PLLC
• Carol Thomason Pritchard I, PSY.D.

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, 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.