Kenneth Arthur Degiorgio, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001829 Issued in VA

Practice address

3809 Princess Anne Rd Ste 117
Virginia Beach, VA 23456-1900

Phone

(757) 471-9008

Fax

(757) 965-6256

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Princess One Chiropractic PC

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1174725519
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457413106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WINTERBERRY LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234535952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 PRINCESS ANNE RD STE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561900",
            "telephone_number": "757-471-9008",
            "fax_number": "757-965-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIORGIO",
        "first_name": "KENNETH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "3651805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PROVIDER",
            "identifier": "4400151",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "102595",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5698700",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Renee Dees
• Allyson Paige Deetscreek
• Michkala Deforest
• Matthew Defries, L02A
• Andrea Degiorgi, PA
• Tina M Degiorgio, DC
• Holly Harris Degruttola, FNP-C
• Jose Deguzman
• Vernalucia V Deguzman, PT
• Vince Edwards D Deguzman, PHARMD

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, 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, 2007; 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.