Individual provider Active NPI

Thomas Roy Jarrett III, D.C

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1306874946
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001424 Issued in VA
Practice address
537 N Great Neck Rd
Virginia Beach, VA 23454-4035
Phone
(757) 463-0193
Fax
(757) 463-5338
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001424 VA Primary

Addresses

Primary practice location

537 N Great Neck Rd
Virginia Beach, VA 23454-4035

Mailing address

537 N Great Neck Rd
Virginia Beach, VA 23454-4035
Phone (757) 463-0193

Other identifiers 1

IdentifierTypeStateIssuer
250270OtherVAANTHEM ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000510 VA Practitioner - Chiropractic 4284818493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Jarrett Chiropractic, PCGroup PAC ID 2365627866, 3 clinicians

Practice addresses (Care Compare)

537 N Great Neck Rd
Virginia Beach, VA 23454-4035
Phone (757) 463-0193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jarrett Chiropractic, PC Chiropractor CurrentSince Nov 22, 1995 Accepting new patients

Locations

537 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 463-0193

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306874946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N GREAT NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544035",
            "telephone_number": "757-463-0193",
            "fax_number": "757-463-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 N GREAT NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544035",
            "telephone_number": "757-463-0193",
            "fax_number": "757-463-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "THOMAS",
        "middle_name": "ROY",
        "name_suffix": "III",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID #",
            "identifier": "250270",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.