Organization Active NPI

VTS Chiropractic & Wellness Center, PC

Doing business as none

  • Pain Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1215715396
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
VTS CHIROPRACTIC & WELLNESS CENTER, PC
Doing business as
none
Practice address
1220 Executive Blvd Ste 105
Chesapeake, VA 23320-2887
Phone
(175) 794-9616
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Dr. Glenda B Mitchell, D.CNPI 1538944723
Title
Doctor/ Ceo
Phone
(757) 949-6165

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
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1220 Executive Blvd Ste 105
Chesapeake, VA 23320-2887

Mailing address

1220 Executive Blvd Ste 105
Chesapeake, VA 23320-2887
Phone (757) 949-6165

Other names 1

  • none Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617001666 VA Part B Supplier - Clinic/Group Practice 4688117807 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1220 Executive Blvd
Ste 105
Chesapeake, VA 23320
Phone (757) 949-6165

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": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1215715396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EXECUTIVE BLVD STE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202887",
            "telephone_number": "757-949-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EXECUTIVE BLVD STE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202887",
            "telephone_number": "175-794-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VTS CHIROPRACTIC & WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR/ CEO",
        "authorized_official_telephone_number": "757-949-6165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2023; 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.