Active NPI
Walsh Chiropractic Center P.C.
- Chiropractor
- Williamsburg, VA
National Provider Identifier
1184672388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555779
- Legal business name
- WALSH CHIROPRACTIC CENTER P.C.
- Practice address
- 1139 Professional Dr
Williamsburg, VA 23185-3329 - Phone
- (757) 220-4917
- Fax
- (757) 220-5884
- NPI assigned
- May 4, 2006
- Last updated
- Dec 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin P Walsh, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (757) 220-4917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555779 | VA | Primary |
Addresses
Primary practice location
1139 Professional Dr
Williamsburg, VA 23185-3329
Mailing address
1309 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3380
Phone (757) 220-4917
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33369 | Other | VA | SENTARA |
| 317460 | Other | VA | ANTHEM BCBS |
| 7116255 | Other | VA | MAMSI |
| 5898271 | Other | VA | GHI |
| 1025361 | Other | VA | AMERICAN SPECIALTY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1139 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-2266
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Williamsburg, VA
- NPI 1790966489
-
- Chiropractor
- Williamsburg, VA
- NPI 1649788977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513123200000",
"number": "1184672388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 JAMESTOWN RD",
"address_2": "SUITE 102",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853380",
"telephone_number": "757-220-4917",
"fax_number": "757-220-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 PROFESSIONAL DR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853329",
"telephone_number": "757-220-4917",
"fax_number": "757-220-5884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALSH CHIROPRACTIC CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2017-12-13",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "757-220-4917",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "33369",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "317460",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "7116255",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5898271",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1025361",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.