Coastal Chiropractic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTAL CHIROPRACTIC PLC

Practice address

119 W 21St St
Norfolk, VA 23517-2224

Phone

(757) 627-2700

Fax

(757) 627-2709

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Haynes, D.C.NPI 1336205475

Title

Partner

Phone

(757) 627-2700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Phillip Haynes, D.C.

  • Chiropractor
  • Norfolk, VA
  • NPI 1336205475
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285779272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172224",
            "telephone_number": "757-627-2700",
            "fax_number": "757-627-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172224",
            "telephone_number": "757-627-2700",
            "fax_number": "757-627-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-627-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.