Active Wellness Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104002072 Issued in VA

Legal business name

ACTIVE WELLNESS CHIROPRACTIC PC

Practice address

1900 Monticello Ave
Norfolk, VA 23517-2339

Phone

(757) 627-2222

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Travis Wayne Davis, D.C

Title

Owner

Phone

(757) 627-2222

Specialties & licenses 1

Addresses

Other names 1

• Healthsource of Norfolk Doing business as

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1326464470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MONTICELLO AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172339",
            "telephone_number": "757-627-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MONTICELLO AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172339",
            "telephone_number": "757-627-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE WELLNESS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-627-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Elizabeth Ackley, FNP
• Andrew Silverio Acompanado, PT, DPT
• Elizabeth Acors, DO
• Active ABA LLC
• Active Chiropractic and Wellness
• Jakkia Adam
• Susan Anona Adam, M.S., CCC-SLP
• Carol J Adams, LCSW
• Eric A Adams, MD
• Gregory Franklin Adams, MD

• Chiropractor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.