Organization Active NPI

Egan Chiropractic, P.C.

  • Chiropractor
  • Hampton, VA
National Provider Identifier
1578623096
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001856 Issued in VA
Legal business name
EGAN CHIROPRACTIC, P.C.
Practice address
1078 Big Bethel Rd
Hampton, VA 23666-1947
Phone
(757) 838-2500
NPI assigned
Dec 12, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Robert EganNPI 1487726659
Title
Owner
Phone
(757) 838-2500

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
Chiropractor 111N00000X 0104001856 VA Primary

Addresses

Primary practice location

1078 Big Bethel Rd
Hampton, VA 23666-1947

Mailing address

1078 Big Bethel Rd
Hampton, VA 23666-1947
Phone (757) 838-2500

Other identifiers 2

IdentifierTypeStateIssuer
C09564OtherMEDICARE
177827OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

1078 Big Bethel Rd
Hampton, VA 23666
Phone (757) 838-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1578623096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 BIG BETHEL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661947",
            "telephone_number": "757-838-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 BIG BETHEL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661947",
            "telephone_number": "757-838-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-838-2500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C09564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "177827",
            "state": "VA"
        }
    ],
    "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 Jan 10, 2008; 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.