Organization Active NPI

Dr Gary R Detweiler PC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1679868038
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000256 Issued in VA
Legal business name
DR GARY R DETWEILER PC
Practice address
3529 Virginia Beach Blvd
Virginia Beach, VA 23452-4421
Phone
(757) 463-0050
Fax
(757) 357-7232
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Gary R Detweiler, PC
Title
Owner/Doctor
Phone
(757) 463-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000256 VA Primary

Addresses

Primary practice location

3529 Virginia Beach Blvd
Virginia Beach, VA 23452-4421

Mailing address

3529 Virginia Beach Blvd
Virginia Beach, VA 23452-4421
Phone (757) 463-0050

National Provider Directory

National Provider Directory

Locations

3529 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 463-0050

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1679868038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524421",
            "telephone_number": "757-463-0050",
            "fax_number": "757-357-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524421",
            "telephone_number": "757-463-0050",
            "fax_number": "757-357-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY R DETWEILER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "DETWEILER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "757-463-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000256",
            "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 Jun 14, 2011; 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.