Organization Active NPI

MSP Inc.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1700958287
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MSP INC.
Practice address
2000 General Booth Blvd
Suite 101
Virginia Beach, VA 23454-5876
Phone
(757) 430-0990
Fax
(757) 271-0013
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Michael Pankow, DC
Title
Owner
Phone
(757) 430-0990

Specialties & licenses 1

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

Addresses

Primary practice location

2000 General Booth Blvd
Suite 101
Virginia Beach, VA 23454-5876

Mailing address

2000 General Booth Blvd
Suite 101
Virginia Beach, VA 23454-5876
Phone (757) 430-0990

Other names 1

  • Beach Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

2000 General Booth Blvd
Ste 101
Virginia Beach, VA 23454
Phone (757) 430-0990

2000 General Booth Blvd
#10
Virginia Beach, VA 23454
Phone (757) 430-0990

Practitioners & affiliated clinicians

Practitioners 1

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1700958287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GENERAL BOOTH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545876",
            "telephone_number": "757-430-0990",
            "fax_number": "757-271-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GENERAL BOOTH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545876",
            "telephone_number": "757-430-0990",
            "fax_number": "757-271-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "PANKOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-430-0990",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 19, 2012; 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.