Organization Active NPI

Spring of Life Chiropractic LLC

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1609247873
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557252 Issued in VA
Legal business name
SPRING OF LIFE CHIROPRACTIC LLC
Practice address
1101 Battlefield Blvd N
Chesapeake, VA 23320-4735
Phone
(757) 560-7987
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Clinton Baney, DC
Title
Owner
Phone
(757) 560-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557252 VA Primary

Addresses

Primary practice location

1101 Battlefield Blvd N
Chesapeake, VA 23320-4735

Mailing address

1101 Battlefield Blvd N
Chesapeake, VA 23320-4735
Phone (757) 560-7987

National Provider Directory

National Provider Directory

Locations

1101 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 547-9266

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1609247873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204735",
            "telephone_number": "757-560-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204735",
            "telephone_number": "757-560-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "BANEY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-560-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.