NPIMap

Organization Active NPI

Red Mill Chiropractic LLC

Doing business as Commonwealth Chiropractic and Physical Therapy

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1457725376
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RED MILL CHIROPRACTIC LLC
Doing business as
Commonwealth Chiropractic and Physical Therapy
Practice address
2236 General Booth Blvd
Virginia Beach, VA 23456-4092
Phone
(757) 467-5258
NPI assigned
Nov 16, 2015
Last updated
Dec 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Kelli Pierce
Title
Billing Lead/Admin Assistant
Phone
(757) 467-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2236 General Booth Blvd
Virginia Beach, VA 23456-4092

Mailing address

2236 General Booth Blvd
Suite 110
Virginia Beach, VA 23456-4092
Phone (757) 467-5258

Other practice location 1

1650 General Booth Blvd Ste 100A
Virginia Beach, VA 23454-5609
Phone (757) 689-3113

Other names 1

  • Commonwealth Chiropractic and Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329001489 VA Part B Supplier - Clinic/Group Practice 5890092308 Receives reassigned benefits from 8 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1253 Nimmo Pkwy
Ste 110
Virginia Beach, VA 23456
Phone (757) 821-2088

1650 General Booth Blvd
Ste 100A
Virginia Beach, VA 23454
Phone (757) 689-3113

2236 General Booth Blvd
Ste 110
Virginia Beach, VA 23456
Phone (757) 467-5258

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1457725376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 GENERAL BOOTH BLVD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564092",
            "telephone_number": "757-467-5258",
            "fax_number": "757-467-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564092",
            "telephone_number": "757-467-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 General Booth Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545609",
            "country_code": "US",
            "telephone_number": "757-689-3113",
            "fax_number": "757-689-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED MILL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "BILLING LEAD/ADMIN ASSISTANT",
        "authorized_official_telephone_number": "757-467-5258"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Chiropractic and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Commonwealth Chiropractic and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.