Organization Active NPI

Williamsburg Chiropractic Clinic

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1396816633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000148 Issued in VA
Legal business name
WILLIAMSBURG CHIROPRACTIC CLINIC
Practice address
5252 Olde Towne Road
Suite a
Williamsburg, VA 23188
Phone
(757) 220-0060
Fax
(757) 229-3481
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Artie L Wilding, DC
Title
Dr of Chiropractic President
Phone
(757) 220-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104000148 VA Primary

Addresses

Primary practice location

5252 Olde Towne Road
Suite a
Williamsburg, VA 23188

Mailing address

5252 Olde Towne Road
Suite a
Williamsburg, VA 23188
Phone (757) 220-0060

Other identifiers 1

IdentifierTypeStateIssuer
066925OtherVABCBS

Other names 1

  • LLC Other name

National Provider Directory

National Provider Directory

Locations

5252 Olde Towne Rd
Williamsburg, VA 23188
Phone (757) 220-0060

5252 Olde Towne Rd
Ste A
Williamsburg, VA 23188
Phone (757) 220-0060

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396816633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 OLDE TOWNE ROAD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-220-0060",
            "fax_number": "757-229-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 OLDE TOWNE ROAD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-220-0060",
            "fax_number": "757-229-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILDING",
        "authorized_official_first_name": "ARTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC PRESIDENT",
        "authorized_official_telephone_number": "757-220-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "066925",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.