NPIMap

Organization Active NPI

Performance Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1497951743
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE CHIROPRACTIC, LLC
Practice address
1307 Jamestown Rd
103
Williamsburg, VA 23185-3381
Phone
(757) 229-4161
Fax
(757) 564-0581
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Daniel A Shaye, DC, CCSP, FIAMANPI 1114927217
Title
Doctor
Phone
(757) 229-4161

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 1

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

Addresses

Primary practice location

1307 Jamestown Rd
103
Williamsburg, VA 23185-3381

Mailing address

1307 Jamestown Rd
103
Williamsburg, VA 23185-3381
Phone (757) 229-4161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000048 VA Part B Supplier - Clinic/Group Practice 4385735000 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

727 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 595-3455

1307 Jamestown Rd
Ste 103
Williamsburg, VA 23185
Phone (757) 218-2369

Practitioners & affiliated clinicians

Practitioners 12

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1497951743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD",
            "address_2": "103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853381",
            "telephone_number": "757-229-4161",
            "fax_number": "757-564-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD",
            "address_2": "103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853381",
            "telephone_number": "757-229-4161",
            "fax_number": "757-564-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAYE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-229-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP, FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.