Glenda Bondal Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557896 Issued in VA

Practice address

1220 Executive Blvd Ste 105
Chesapeake, VA 23320-2887

Phone

(757) 949-6165

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• VTS Chiropractic & Wellness Center, PC

  dba none

  • Pain Clinic/Center
  • Chesapeake, VA
  • NPI 1215715396
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1538944723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EXECUTIVE BLVD STE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202887",
            "telephone_number": "757-949-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EXECUTIVE BLVD STE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202887",
            "telephone_number": "757-949-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GLENDA",
        "middle_name": "BONDAL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan E Mintz, PA
• Miraculous Hands Home Healthcare
• Chelsea Rae Miranda, LMHP-R
• Ashley Loretta Mirmak, CNM
• Mitra Mirmotahari
• Jasmine Mitchell
• Kirsteen Mitchell
• Mark Mitchell
• Megan Barkhurst Mitchell, NP
• Rashaida Mitchell

• Chiropractor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.