Glen Allen Chiropractic & Acupuncture Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001916 Issued in VA

Legal business name

GLEN ALLEN CHIROPRACTIC & ACUPUNCTURE CENTER PC

Practice address

11535 Nuckols Rd Ste D
Glen Allen, VA 23059-5671

Phone

(804) 747-5464

Fax

(804) 747-5483

NPI assigned

Dec 13, 2006

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael SpagnoloNPI 1942209556

Title

Office Manager

Phone

(804) 747-5464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Michael Anthony Spagnolo, D.C.

  • Chiropractor
  • Glen Allen, VA
  • NPI 1942209556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1306907399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 NUCKOLS RD STE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595671",
            "telephone_number": "804-747-5464",
            "fax_number": "804-747-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 NUCKOLS RD STE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595671",
            "telephone_number": "804-747-5464",
            "fax_number": "804-747-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ALLEN CHIROPRACTIC & ACUPUNCTURE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SPAGNOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-747-5464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1942209556",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Kaye Gingrich, DPM
• GL Virginia Elizabeth House, LLC (Elizabeth Adam Crump Health and Rehab)
• Glaad Servicesllc
• Sarah Lynn Glass, LPC
• Stephen Glass
• Glen Allen Medi LLC
• Glenn W. Fortner DDS, PC
• Gods Creation Home Care LLC (Gods Creation Home Care)
• Prathyusha Gogineni
• Golay Health Ventures LLC (Ellie Mental Health)

• Chiropractor in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.