Active NPI
Scott M. Ponquinette, DC
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hampton, VA
National Provider Identifier
1518455484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 1518455484
- Practice address
- 2 Beaver Castle Court
Hampton, VA 23666 - Phone
- (888) 902-2696
- NPI assigned
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557452 | VA | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 1518455484 | VA | Primary |
Addresses
Primary practice location
2 Beaver Castle Court
Hampton, VA 23666
Mailing address
685 Turnberry Blvd Unit 14479
Newport News, VA 23608-0219
Phone (888) 902-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557452 | VA | MD | Chiropractor |
| 1518455484 | VA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comber Physical Therapy, LLC | Current | Accepting new patients | |
| Premier Chiropractic Associates PC | Chiropractor | Past | Accepting new patients |
Locations
201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188
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.
-
- Physical Therapy Clinic/Center
- Williamsburg, VA
- NPI 1689769473
-
- Chiropractor
- Virginia Beach, VA
- NPI 1508042854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1518455484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 TURNBERRY BLVD UNIT 14479",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236080219",
"telephone_number": "888-902-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BEAVER CASTLE COURT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23666",
"telephone_number": "888-902-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONQUINETTE",
"first_name": "SCOTT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2022-05-02",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557452",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "VA",
"license": "1518455484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.