Poquoson Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001735 Issued in VA

Legal business name

POQUOSON CHIROPRACTIC CLINIC, P.C.

Practice address

370A Wythe Creek Rd
Poquoson, VA 23662-1926

Phone

(757) 868-7709

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A McEwen, D.C.NPI 1649472515

Title

President

Phone

(757) 868-7709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Andrew McEwen, D.C.

  • Chiropractor
  • Poquoson, VA
  • NPI 1649472515
  Medicare reassignment NPD Authorized official
• Brandon Burr, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
  • NPI 1336677319
  NPD (past)
• Christopher Thomas Connolly, D.C.

  • Chiropractor
  • Yorktown, VA
  • NPI 1184720781
  NPD (past)
• Cornelius Tucker Carwile III, D. C.

  • Chiropractor
  • Fort Liberty, NC
  • NPI 1144288358
  NPD (past)
• Lisa Dawn Somerson, M.D.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1952528291
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1366623142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370A WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621926",
            "telephone_number": "757-868-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370A WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621926",
            "telephone_number": "757-868-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POQUOSON CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-868-7709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred P Moore, DENTIST
• Dale Alan Moore Sr., PHARM.D
• Imani Janea' Parker
• Rebecca Peek, CD(DONA)
• Andrea Peterson, CCC-SLP
• Poquoson City Public Schools
• Robyn Progar, RPH
• Refine Mind Mental Health Services LLC
• Stephanie Sebestyen, PTA
• SNH VA Tenant LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.