Active NPI
Tidewater Chiropractic Group P.C.
Doing business as Tidewater Chiropractic
- Chiropractor
- Portsmouth, VA
National Provider Identifier
1417097718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001982
- Legal business name
- TIDEWATER CHIROPRACTIC GROUP P.C.
- Doing business as
- Tidewater Chiropractic
- Practice address
- 4305 Portsmouth Blvd
Portsmouth, VA 23701-2539 - Phone
- (757) 465-7299
- Fax
- (757) 465-7282
- NPI assigned
- Feb 7, 2007
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cornelius Tucker Carwile III, D.C.
- Title
- President Clinic Director
- Phone
- (757) 465-7299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001982 | VA | Primary |
Addresses
Primary practice location
4305 Portsmouth Blvd
Portsmouth, VA 23701-2539
Mailing address
4305 Portsmouth Blvd
Portsmouth, VA 23701-2539
Phone (757) 465-7299
Other names 1
- Tidewater Chiropractic
National Provider Directory
National Provider DirectoryLocations
4305 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 465-7299
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Chesapeake, VA
- NPI 1447345079
-
- Chiropractor
- Virginia Beach, VA
- NPI 1467905547
-
- Chiropractor
- Hampton, VA
- NPI 1124365374
-
- Chiropractor
- Onley, VA
- NPI 1659454270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1417097718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 PORTSMOUTH BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237012539",
"telephone_number": "757-465-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 PORTSMOUTH BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237012539",
"telephone_number": "757-465-7299",
"fax_number": "757-465-7282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDEWATER CHIROPRACTIC GROUP P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "CARWILE",
"authorized_official_first_name": "CORNELIUS",
"authorized_official_middle_name": "TUCKER",
"authorized_official_title_or_position": "PRESIDENT CLINIC DIRECTOR",
"authorized_official_telephone_number": "757-465-7299",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tidewater Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portsmouth, VA
- Christopher Joseph Thorndal, DO
- Thriving Family Solutions LLC
- Edward S. Thur, NP-C
- Terrall Thurman Jr., D.D.S.
- Tiderwater Youth Service Commission
- Tidewater Eye Center SPC
- Tidewater Eye Centers (Better Vision Eyeglass Center)
- Tidewater Eye Centers (Better Vision Eyeglass Center)
- Tidewater Eye Centers PC (Better Vision)
- Tidewater Medical Transport, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.