Organization Active NPI

Via Vitae Chiropractic LLC

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1609376649
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557448 Issued in VA
Legal business name
VIA VITAE CHIROPRACTIC LLC
Practice address
4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415
Phone
(757) 208-7108
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Dr. Brandon Babin, DCNPI 1619477650
Title
Owner
Phone
(757) 208-7108

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557448 VA Primary

Addresses

Primary practice location

4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415

Mailing address

4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415
Phone (757) 208-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326002198 VA Part B Supplier - Clinic/Group Practice 2567724834 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

4511 John Tyler Hwy
Ste B
Williamsburg, VA 23185
Phone (757) 208-7108

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1609376649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HWY STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852415",
            "telephone_number": "757-208-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HWY STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852415",
            "telephone_number": "757-208-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA VITAE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "BABIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-208-7108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557448",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 16, 2018; 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.