Douglas F Ambrose, DC, FIAMA

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

0104001902 Issued in VA

Practice address

535 Southlake Blvd
North Chesterfield, VA 23236-3042

Phone

(804) 897-6130

Fax

(804) 924-2168

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Richmond Chiropractic, Inc.

  • Chiropractor
  • North Chesterfield, VA
  • NPI 1639221500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1386716264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SOUTHLAKE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363042",
            "telephone_number": "804-897-6130",
            "fax_number": "804-897-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SOUTHLAKE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363042",
            "telephone_number": "804-897-6130",
            "fax_number": "804-924-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC, FIAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104001902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allstar Medical Services
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• Alicia Isabel Alvarez, CF-SLP
• Stephanie Rene Amarteifio, LCSW
• Amber Grace LLC
• Jessica Jane Amero, MD
• Amiel Community Services, LLC
• Nil Amin, DMD
• Amir H Tavassoli DDS PLLC
• Amira Transport Inc.

• Internist Chiropractor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Internist Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.