Active NPI
Bay Area Chiropractic Clinic Inc.
- Chiropractor
- Virginia Beach, VA
National Provider Identifier
1255517108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000382
- Legal business name
- BAY AREA CHIROPRACTIC CLINIC INC.
- Practice address
- 5301 Providence Rd
Suite 50
Virginia Beach, VA 23464-4128 - Phone
- (757) 495-2228
- Fax
- (757) 495-2216
- NPI assigned
- Jan 10, 2008
- Last updated
- Aug 27, 2014
- 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. Wayne Robert Eiban, DC
- Title
- Doctor/Owner
- Phone
- (757) 495-2228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000382 | VA | Primary |
Addresses
Primary practice location
5301 Providence Rd
Suite 50
Virginia Beach, VA 23464-4128
Mailing address
5301 Providence Rd
Suite 50
Virginia Beach, VA 23464-4128
Phone (757) 495-2228
National Provider Directory
National Provider DirectoryPractitioners & 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
- Virginia Beach, VA
- NPI 1285643429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409097600000",
"number": "1255517108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 PROVIDENCE RD",
"address_2": "SUITE 50",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644128",
"telephone_number": "757-495-2228",
"fax_number": "757-495-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 PROVIDENCE RD",
"address_2": "SUITE 50",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644128",
"telephone_number": "757-495-2228",
"fax_number": "757-495-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA CHIROPRACTIC CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2014-08-27",
"status": "A",
"authorized_official_last_name": "EIBAN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "757-495-2228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.