Organization Active NPI

Kim Scott Charney, D.C. P.C.

Doing business as Charney Chiropractic Back Rehab & Wellness

  • Chiropractor
  • Newport News, VA
National Provider Identifier
1295756021
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000494 Issued in VA
Legal business name
KIM SCOTT CHARNEY, D.C. P.C.
Doing business as
Charney Chiropractic Back Rehab & Wellness
Practice address
11842 Rock Landing Dr
Suite 110
Newport News, VA 23606-4437
Phone
(757) 873-9580
Fax
(757) 873-9050
NPI assigned
Jul 21, 2006
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Kim Scott Charney, D.C.NPI 1336189554
Title
Owner
Phone
(757) 873-9580

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
Chiropractor 111N00000X 0104000494 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr
Suite 110
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr
Suite 110
Newport News, VA 23606-4437
Phone (757) 873-9580

Other names 1

  • Charney Chiropractic Back Rehab & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000162 VA Part B Supplier - Clinic/Group Practice 0648429365 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

213 Research Dr
Chesapeake, VA 23320

11842 Rock Landing Dr
Newport News, VA 23606
Phone (757) 595-8964

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1295756021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-9580",
            "fax_number": "757-873-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-9580",
            "fax_number": "757-873-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM SCOTT CHARNEY, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "CHARNEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-873-9580",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charney Chiropractic Back Rehab & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.