Organization Active NPI

Chirocare Plus, Inc.

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1578720017
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000644 Issued in VA
Legal business name
CHIROCARE PLUS, INC.
Practice address
3204 Ironbound Rd
Suite a
Williamsburg, VA 23188-2410
Phone
(757) 565-6464
Fax
(757) 565-7714
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Dennis John Gesualdi, DC
Title
Doctor of Chiropractic/Director
Phone
(757) 565-6464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 010400644 VA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104000644 VA Primary

Addresses

Primary practice location

3204 Ironbound Rd
Suite a
Williamsburg, VA 23188-2410

Mailing address

3204 Ironbound Rd
Suite a
Williamsburg, VA 23188-2410
Phone (757) 565-6464

Other identifiers 1

IdentifierTypeStateIssuer
1295722940OtherVAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1578720017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 IRONBOUND RD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-565-6464",
            "fax_number": "757-565-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 IRONBOUND RD",
            "address_2": "SUITE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-565-6464",
            "fax_number": "757-565-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "GESUALDI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/DIRECTOR",
        "authorized_official_telephone_number": "757-565-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "010400644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1295722940",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.