Individual provider Active NPI

Kurt Thomas Virgin, DC

  • Chiropractor
  • Oldsmar, FL
National Provider Identifier
1508366246
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12394 Issued in FL
Practice address
4040 Tampa Rd
Oldsmar, FL 34677-3205
Phone
(813) 818-7499
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12394 FL Primary

Addresses

Primary practice location

4040 Tampa Rd
Oldsmar, FL 34677-3205

Mailing address

11035 Longboat Key LN Apt 309
Tampa, FL 33626-2754
Phone (217) 313-0744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001012 FL Practitioner - Chiropractic 0143564773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Socc PLGroup PAC ID 4486702065, 4 clinicians

Practice addresses (Care Compare)

4170 Town Ctr Blvd
Suite 100
Orlando, FL 32837-5875
Phone (407) 857-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Socc PL Chiropractor CurrentSince Sep 15, 2018 Accepting new patients
Conforti Chiropractic & Wellness Center Inc Chiropractor PastSince Sep 1, 2004 Accepting new patients

Locations

4170 W Town Center Blvd
Ste 100
Orlando, FL 32837
Phone (407) 857-6166

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1508366246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LONGBOAT KEY LN APT 309",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262754",
            "telephone_number": "217-313-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773205",
            "telephone_number": "813-818-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGIN",
        "first_name": "KURT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.