Individual provider Active NPI

Dennis John Gesualdi, D.C.

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1295722940
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000644 Issued in VA
Practice address
3204-A Ironbound Rd.
Suite a
Williamsburg, VA 23188-2410
Phone
(757) 565-6464
Fax
(757) 565-7714
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104000644 VA
Chiropractor 111N00000X 0104000644 VA Primary

Addresses

Primary practice location

3204-A Ironbound Rd.
Suite a
Williamsburg, VA 23188-2410

Mailing address

3204 Ironbound Road
Suite a
Williamsburg, VA 23188-2410
Phone (757) 565-6464

Other identifiers 1

IdentifierTypeStateIssuer
0104000644OtherVAVA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinto Family Chiropractic, PLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1295722940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 IRONBOUND ROAD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-565-6464",
            "fax_number": "757-565-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204-A IRONBOUND RD.",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-565-6464",
            "fax_number": "757-565-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDI",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104000644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE",
            "identifier": "0104000644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.