Organization Active NPI

Active Chiropractic and Wellness

  • Clinic/Center
  • Norfolk, VA
National Provider Identifier
1437462124
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0104556532 Issued in VA
Legal business name
ACTIVE CHIROPRACTIC AND WELLNESS
Practice address
2200 Colonial Ave
Suite 2
Norfolk, VA 23517-1915
Phone
(757) 622-8777
NPI assigned
Jul 22, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Dr. Jason Matthew King, D.C.
Title
Owner
Phone
(703) 371-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0104556532 VA Primary

Addresses

Primary practice location

2200 Colonial Ave
Suite 2
Norfolk, VA 23517-1915

Mailing address

2200 Colonial Ave
Suite 2
Norfolk, VA 23517-1915
Phone (757) 622-8777

National Provider Directory

National Provider Directory

Locations

2200 Colonial Ave
Ste 2
Norfolk, VA 23517
Phone (757) 622-8777

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1437462124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL AVE",
            "address_2": "SUITE 2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171915",
            "telephone_number": "757-622-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL AVE",
            "address_2": "SUITE 2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171915",
            "telephone_number": "757-622-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-371-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104556532",
            "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 Jul 22, 2010; 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.