Organization Active NPI

Hampton Roads Acupuncture and Wellness LLC

  • Acupuncturist
  • Norfolk, VA
National Provider Identifier
1275119216
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HAMPTON ROADS ACUPUNCTURE AND WELLNESS LLC
Doing business as
Hampton Roads Acupuncture and Wellness LLC
Practice address
129 W VA Beach Blvd Ste 100
Norfolk, VA 23510-2030
Phone
(757) 793-0633
Fax
(757) 299-2997
NPI assigned
Mar 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Authorized official

Name
Mr. Charles Allison Miller, L.ACNPI 1982091187
Title
Owner
Phone
(757) 793-0633

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

129 W VA Beach Blvd Ste 100
Norfolk, VA 23510-2030

Mailing address

129 W VA Beach Blvd Ste 100
Norfolk, VA 23510-2030
Phone (757) 793-0633

Other identifiers 1

IdentifierTypeStateIssuer
0121000760OtherVAVA BOARD OF MEDICINE LIC. #

Other names 1

  • Hampton Roads Acupuncture and Wellness LLC Doing business as

National Provider Directory

National Provider Directory

Locations

129 W Virginia Beach Blvd
Ste 100
Norfolk, VA 23510
Phone (757) 793-0633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616284800000",
    "number": "1275119216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W VA BEACH BLVD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-793-0633",
            "fax_number": "757-299-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VA BEACH BLVD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-793-0633",
            "fax_number": "757-299-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS ACUPUNCTURE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-793-0633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF MEDICINE LIC. #",
            "identifier": "0121000760",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Acupuncture and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.