Atlantic Coast Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555605 Issued in VA

Legal business name

ATLANTIC COAST CHIROPRACTIC, P.C.

Practice address

5267 Greenwich Rd
Suite 201
Virginia Beach, VA 23462-6028

Phone

(757) 313-6723

Fax

(757) 313-4596

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mithra Jigme Green, D.C.NPI 1750457230

Title

Owner

Phone

(757) 313-6723

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Mithra Jigme Green, DC

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1750457230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1235395948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626028",
            "telephone_number": "757-313-6723",
            "fax_number": "757-313-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626028",
            "telephone_number": "757-313-6723",
            "fax_number": "757-313-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MITHRA",
        "authorized_official_middle_name": "JIGME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-313-6723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "292354",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MAILHANDLER'S BENEFIT PLAN",
            "identifier": "2282482",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.