NPIMap

Organization Active NPI

Back in Action Chiropractic Center PC

  • Chiropractor
  • Richmond, VA
National Provider Identifier
1497825079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK IN ACTION CHIROPRACTIC CENTER PC
Practice address
4908 Monument Avenue
100
Richmond, VA 23230-3613
Phone
(804) 254-0200
Fax
(804) 254-1953
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stephanie Mae Berv
Title
V Pres Director of Operations
Phone
(804) 254-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4908 Monument Avenue
100
Richmond, VA 23230-3613

Mailing address

4908 Monument Avenue
100
Richmond, VA 23230-3613
Phone (804) 254-0200

National Provider Directory

National Provider Directory
Tax ID family
Back in Action Chiropractic Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4908 Monument Ave
Ste 100
Richmond, VA 23230
Phone (804) 254-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497825079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 MONUMENT AVENUE",
            "address_2": "100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303613",
            "telephone_number": "804-254-0200",
            "fax_number": "804-254-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 MONUMENT AVENUE",
            "address_2": "100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303613",
            "telephone_number": "804-254-0200",
            "fax_number": "804-254-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERV",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "V PRES DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "804-254-0200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.