Keitza Garavito Amador, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557677 Issued in VA

Practice address

1108 Madison PLZ
Chesapeake, VA 23320-5111

Phone

(757) 436-5428

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Damin, Inc

  • Chiropractor
  • Chesapeake, VA
  • NPI 1982992640
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1356955082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 MADISON PLZ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205111",
            "telephone_number": "757-436-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 MADISON PLZ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205111",
            "telephone_number": "757-436-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAVITO AMADOR",
        "first_name": "KEITZA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myupdox.com",
            "affiliation": "N",
            "address_1": "1108 Madison Plz",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233205111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Britnee Gamboni
• Lawanda R Gammon
• Stephen Carl Ganderson, PSY.D.
• Aimee L Gannon, PA
• April Monique Gantt, NONE
• Anna Elizabeth Garcia
• Gardens Pharmacy
• Karen Gardiner
• Michelle Rebecca Garland, LCSW
• Katie Garner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.