Organization Active NPI

Sommerville Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1194951277
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556485 Issued in VA
Legal business name
SOMMERVILLE CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
11037 Hull Street Rd
Midlothian, VA 23112-3254
Phone
(804) 745-7822
Fax
(804) 523-8022
NPI assigned
Jun 3, 2009
Organization subpart
Yes
Parent organization
SOMMERVILLE CHIROPRACTIC & WELLNESS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
David C Donofrio, DC
Title
Owner/Doctor
Phone
(804) 745-8745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556485 VA Primary

Addresses

Primary practice location

11037 Hull Street Rd
Midlothian, VA 23112-3254

Mailing address

11037 Hull Street Rd
Midlothian, VA 23112-3254
Phone (804) 745-7822

Other names 1

  • Victorian Square Chiropractic Center Doing business as

National Provider Directory

National Provider Directory
Part of
Sommerville Chiropractic W

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1194951277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-745-7822",
            "fax_number": "804-523-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-745-7822",
            "fax_number": "804-523-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMMERVILLE CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMMERVILLE CHIROPRACTIC & WELLNESS CENTER, LLC",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "804-745-8745",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorian Square Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.