Stephen Michael Genthner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556637 Issued in VA

Practice address

355 Crawford St
Suite 105
Portsmouth, VA 23704-2816

Phone

(757) 399-4700

Fax

(757) 399-0011

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Spine and Wellness Center LLCGroup PAC ID 9638224801, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southeast Spine & Wellness Center LLC

  • Chiropractor
  • Portsmouth, VA
  • NPI 1467694729
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1407030653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 105",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-4700",
            "fax_number": "757-399-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 105",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-4700",
            "fax_number": "757-399-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTHNER",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011498",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bautista Gelacio
• Tyler Hamilton Genaway, DO
• Richard Timothy Gendron, RPH
• Genesis Healthcare
• Ashley Parmarter Genthner, D.C.
• Michael Anthony Gentile, D.M.D.
• Gentle Care Solutions, LLC
• Gentle Touch Home Care, LLC
• Mariya V. George, D.O.
• Katie Jane Gerarge, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.