Organization Active NPI

Back in Action Chiropractic Center, P.C.

  • Sports Physician Chiropractor
  • Richmond, VA
National Provider Identifier
1669629085
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001775 Issued in VA
Legal business name
BACK IN ACTION CHIROPRACTIC CENTER, P.C.
Practice address
4911 Augusta Ave
Richmond, VA 23230-3601
Phone
(804) 254-0200
Fax
(804) 254-1953
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. David A. Berv, C.C.S.P.
Title
President
Phone
(804) 254-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 0104001775 VA Primary

Addresses

Primary practice location

4911 Augusta Ave
Richmond, VA 23230-3601

Mailing address

4911 Augusta Ave
Richmond, VA 23230-3601
Phone (804) 254-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000878 VA Part B Supplier - Clinic/Group Practice 6305913278 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory
Tax ID family
Back in Action Chiropractic Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4911 Augusta Ave
Richmond, VA 23230
Phone (804) 254-0200

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1669629085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 AUGUSTA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303601",
            "telephone_number": "804-254-0200",
            "fax_number": "804-254-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 AUGUSTA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303601",
            "telephone_number": "804-254-0200",
            "fax_number": "804-254-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "BERV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-254-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.