Individual provider Active NPI

Kevin James Westby, D.C.

  • Chiropractor
  • Hampton, VA
National Provider Identifier
1720198377
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000693 Issued in VA
Practice address
2216 Executive Dr
Suite a
Hampton, VA 23666-6602
Phone
(757) 827-3210
Fax
(757) 827-9089
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000693 VA Primary

Addresses

Primary practice location

2216 Executive Dr
Suite a
Hampton, VA 23666-6602

Mailing address

2216 Executive Dr
Suite a
Hampton, VA 23666-6602
Phone (757) 827-3210

Other identifiers 4

IdentifierTypeStateIssuer
5493526OtherAETNA
460427OtherACN
225605OtherMAMSI
249206OtherVAANTHEM BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000079 VA Practitioner - Chiropractic 2062434830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Care of Tidewater PCGroup PAC ID 9537266440, 2 clinicians

Practice addresses (Care Compare)

2216 Executive Dr
Suite a
Hampton, VA 23666-2690
Phone (757) 827-3210

2216 Executive Dr a
Hampton, VA 23666-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care of Tidewater, P.C. Chiropractor CurrentSince Jan 22, 2007 Accepting new patients
Spine Care of Tidewater PC Chiropractor Current Accepting new patients

Locations

2204 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 644-3989

2216 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 504-2469

11872 Canon Blvd
Ste D
Newport News, VA 23606
Phone (757) 873-4131

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1720198377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666602",
            "telephone_number": "757-827-3210",
            "fax_number": "757-827-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666602",
            "telephone_number": "757-827-3210",
            "fax_number": "757-827-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBY",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5493526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "460427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "225605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "249206",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.