Organization Active NPI

Doan Wellness Center, P.C.

  • Rehabilitation Chiropractor
  • Chesapeake, VA
National Provider Identifier
1407935190
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104001238 Issued in VA
Legal business name
DOAN WELLNESS CENTER, P.C.
Practice address
321 Johnstown Rd Ste D
Chesapeake, VA 23322-5309
Phone
(757) 546-0031
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Dr. Edwin L. Doan, D.C.NPI 1225117013
Title
President
Phone
(757) 546-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 0104001238 VA Primary

Addresses

Primary practice location

321 Johnstown Rd Ste D
Chesapeake, VA 23322-5309

Mailing address

321 Johnstown Rd Ste D
Chesapeake, VA 23322-5309
Phone (757) 546-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000698 VA Part B Supplier - Clinic/Group Practice 7012198724 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

312 Cedar Lakes Dr
Chesapeake, VA 23322

312 Cedar Lakes Dr
#D
Chesapeake, VA 23322

312 Cedar Lakes Dr
Ste 101
Chesapeake, VA 23322
Phone (757) 546-0031

321 Johnstown Rd
Ste D
Chesapeake, VA 23322
Phone (757) 546-0031

Practitioners & affiliated clinicians

Practitioners 6

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1407935190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 JOHNSTOWN RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225309",
            "telephone_number": "757-546-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JOHNSTOWN RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225309",
            "telephone_number": "757-546-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-546-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.