Individual provider Active NPI

David E Ranzette, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1467489690
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002079 Issued in VA
Practice address
4664 South Blvd
Suite 101
Virginia Beach, VA 23452-1003
Phone
(757) 490-8555
Fax
(757) 490-3838
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104002079 VA Primary

Addresses

Primary practice location

4664 South Blvd
Suite 101
Virginia Beach, VA 23452-1003

Mailing address

4664 South Blvd
Suite 101
Virginia Beach, VA 23452-1003
Phone (757) 490-8555

Other identifiers 7

IdentifierTypeStateIssuer
8916112OtherVACIGNA
112486OtherVABCBS ANTHEM
4400741OtherVAUNITEDHEALTHCARE
5239700OtherVAAETNA
253863OtherVAANTHEM HEALTHKEEPERS
19763OtherVASENTARA PPO
391886617OtherVAMULTIPLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000813 VA Practitioner - Chiropractic 2264416296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4664 S Blvd
Suite 101
Virginia Beach, VA 23452-1058
Phone (757) 490-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Chiropractic PLLC Chiropractor CurrentSince Mar 1, 2004 Accepting new patients
Southeast Spine & Wellness Center LLC Chiropractor Past Accepting new patients

Locations

4664 South Blvd
Virginia Beach, VA 23452

4664 South Blvd
Ste 101
Virginia Beach, VA 23452
Phone (757) 490-8555

4740 Baxter Rd
#109
Virginia Beach, VA 23462
Phone (757) 490-8555

4740 Baxter Rd
Ste 109
Virginia Beach, VA 23462
Phone (757) 490-8555

Organizations & group practices 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1467489690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 SOUTH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521003",
            "telephone_number": "757-490-8555",
            "fax_number": "757-490-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 SOUTH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521003",
            "telephone_number": "757-490-8555",
            "fax_number": "757-490-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANZETTE",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8916112",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "112486",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "4400741",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5239700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "253863",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA PPO",
            "identifier": "19763",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "391886617",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2014; 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.