Organization Active NPI

True Source Chiropractic

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1609646785
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRUE SOURCE CHIROPRACTIC
Practice address
4633 Pembroke Lake Cir Ste 100
Virginia Beach, VA 23455-6404
Phone
(757) 937-3558
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Joshua Michael CollingsworthNPI 1518469600
Title
Owner/Chiropractor
Phone
(757) 692-4399

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 NU Primary

Addresses

Primary practice location

4633 Pembroke Lake Cir Ste 100
Virginia Beach, VA 23455-6404

Mailing address

4633 Pembroke Lake Cir Ste 100
Virginia Beach, VA 23455-6404
Phone (757) 937-3558

National Provider Directory

National Provider Directory

Locations

4633 Pembroke Lake Cir
#100
Virginia Beach, VA 23455
Phone (757) 689-7446

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1609646785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 PEMBROKE LAKE CIR STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556404",
            "telephone_number": "757-937-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 PEMBROKE LAKE CIR STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556404",
            "telephone_number": "757-937-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SOURCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "COLLINGSWORTH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "757-692-4399"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.