Total Regenerative Solutions

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TOTAL REGENERATIVE SOLUTIONS

Practice address

2101 Parks Ave Ste 700
Virginia Beach, VA 23451-4160

Phone

(818) 424-4270

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Tonya Gilliam

Title

Director of Billing and Compliance

Phone

(972) 632-6877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1295317618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PARKS AVE STE 700",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514160",
            "telephone_number": "818-424-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARKS AVE STE 700",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514160",
            "telephone_number": "818-424-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REGENERATIVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING AND COMPLIANCE",
        "authorized_official_telephone_number": "972-632-6877"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.