NPIMap

Organization Active NPI

Precision Spinal Care, Inc.

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1497910269
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556541 Issued in VA
Legal business name
PRECISION SPINAL CARE, INC.
Practice address
1305 Executive Blvd
Suite 170
Chesapeake, VA 23320-3676
Phone
(757) 382-5555
Fax
(757) 382-5556
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Allen Dayton Harrison, D.C.NPI 1942386834
Title
Associate Doctor of Chiropractic
Phone
(757) 382-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104556541 VA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104556052 VA

Addresses

Primary practice location

1305 Executive Blvd
Suite 170
Chesapeake, VA 23320-3676

Mailing address

1305 Executive Blvd
Suite 170
Chesapeake, VA 23320-3676
Phone (757) 382-5555

Other names 1

  • Precision Spinal Care Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000787 VA Part B Supplier - Clinic/Group Practice 7315007093 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

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": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1497910269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 EXECUTIVE BLVD",
            "address_2": "SUITE 170",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203676",
            "telephone_number": "757-382-5555",
            "fax_number": "757-382-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 EXECUTIVE BLVD",
            "address_2": "SUITE 170",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203676",
            "telephone_number": "757-382-5555",
            "fax_number": "757-382-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "DAYTON",
        "authorized_official_title_or_position": "ASSOCIATE DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "757-382-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556541",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Spinal Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.