Active NPI
Dominion Family Chiropractic P C
- Chiropractor
- Chesapeake, VA
National Provider Identifier
1205021888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555604
- Legal business name
- DOMINION FAMILY CHIROPRACTIC P C
- Practice address
- 630 Cedar Rd Ste B
Chesapeake, VA 23322-8375 - Phone
- (757) 547-4000
- Fax
- (757) 547-0098
- NPI assigned
- Sep 7, 2007
- Last updated
- Apr 24, 2024
- 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. Barry H Stewart, D.C.
- Title
- Owner/President
- Phone
- (757) 576-1040
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 | 0104555604 | VA | Primary |
Addresses
Primary practice location
630 Cedar Rd Ste B
Chesapeake, VA 23322-8375
Mailing address
630 Cedar Rd Ste B
Chesapeake, VA 23322-8375
Phone (757) 547-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
630 Cedar Rd
Ste B
Chesapeake, VA 23322
Phone (757) 547-4000
Practitioners & affiliated clinicians
Practitioners 1
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
- Chesapeake, VA
- NPI 1518021195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1205021888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 CEDAR RD STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233228375",
"telephone_number": "757-547-4000",
"fax_number": "757-547-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 CEDAR RD STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233228375",
"telephone_number": "757-547-4000",
"fax_number": "757-547-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION FAMILY CHIROPRACTIC P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "757-576-1040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.