Individual provider Active NPI

John E Clayton IV, D.C.

  • Chiropractor
  • Norfolk, VA
National Provider Identifier
1417917188
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556221 Issued in VA
Practice address
250 W Brambleton Ave Ste 102
Norfolk, VA 23510-1505
Phone
(757) 622-1222
Fax
(757) 622-4222
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556221 VA Primary

Addresses

Primary practice location

250 W Brambleton Ave Ste 102
Norfolk, VA 23510-1505

Mailing address

250 W Brambleton Ave Ste 102
Norfolk, VA 23510-1505
Phone (757) 622-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000440 VA Practitioner - Chiropractic 3072567650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 W Brambleton Ave
Suite 102
Norfolk, VA 23510-1505
Phone (757) 622-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ghent Chiropractic, P.C. Chiropractor CurrentSince Mar 12, 2004 Accepting new patients

Locations

821 W 21st St
Ste 100
Norfolk, VA 23517
Phone (757) 622-1222

250 W Brambleton Ave
Ste 102
Norfolk, VA 23510
Phone (757) 622-1222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1417917188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 102",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-622-1222",
            "fax_number": "757-622-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 102",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-622-1222",
            "fax_number": "757-622-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.