Individual provider Active NPI

Tina M Degiorgio, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1659554434
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01041830 Issued in VA
Practice address
500 Central Dr
Suite 114
Virginia Beach, VA 23454-5236
Phone
(757) 498-3044
Fax
(757) 498-3288
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01041830 VA Primary

Addresses

Primary practice location

500 Central Dr
Suite 114
Virginia Beach, VA 23454-5236

Mailing address

500 Central Dr
Suite 114
Virginia Beach, VA 23454-5236
Phone (757) 498-3044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001103 VA Practitioner - Chiropractic 4688654395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Central Dr
Suite 114
Virginia Beach, VA 23454-5236
Phone (757) 498-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01041830VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Beach Holistic Clinic PC Chiropractor CurrentSince Jun 1, 2004 Accepting new patients

Locations

500 Central Dr
Ste 114
Virginia Beach, VA 23454
Phone (757) 498-3044

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1659554434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRAL DR",
            "address_2": "SUITE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545236",
            "telephone_number": "757-498-3044",
            "fax_number": "757-498-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENTRAL DR",
            "address_2": "SUITE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545236",
            "telephone_number": "757-498-3044",
            "fax_number": "757-498-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIORGIO",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01041830",
            "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 Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.