Organization Active NPI

Dominion Family Chiropractic P C

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1205021888
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555604 Issued in VA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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.NPI 1518021195
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20060327000450 VA Part B Supplier - Clinic/Group Practice 0840208229 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.