Organization Active NPI

Quintessential Chiropractic, LLC

  • Clinic/Center
  • South Chesterfield, VA
National Provider Identifier
1528372885
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0104556826 Issued in VA
Legal business name
QUINTESSENTIAL CHIROPRACTIC, LLC
Practice address
16021 Kairos Rd
Suite C
South Chesterfield, VA 23834-5205
Phone
(804) 536-6262
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Katrina S Mayes, D.C.NPI 1437463973
Title
Owner
Phone
(804) 536-6262

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
Clinic/Center 261Q00000X 0104556826 VA Primary

Addresses

Primary practice location

16021 Kairos Rd
Suite C
South Chesterfield, VA 23834-5205

Mailing address

16021 Kairos Rd
Suite C
South Chesterfield, VA 23834-5205
Phone (804) 536-6262

National Provider Directory

National Provider Directory

Locations

16021 Kairos Rd
Ste C
South Chesterfield, VA 23834
Phone (804) 536-6262

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": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1528372885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 KAIROS RD",
            "address_2": "SUITE C",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345205",
            "telephone_number": "804-536-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 KAIROS RD",
            "address_2": "SUITE C",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345205",
            "telephone_number": "804-536-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-536-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104556826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.