Active NPI
Taylor Anne Bollig, D.C.
- Chiropractor
- Suffolk, VA
National Provider Identifier
1730545286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557378
- Practice address
- 6546 Hampton Roads Pkwy
Suite 40-112
Suffolk, VA 23435-3185 - Phone
- (757) 642-4945
- Fax
- (757) 642-4945
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11751 | FL | |
| Chiropractor | 111N00000X | 0104-557378 | VA | Primary |
Addresses
Primary practice location
6546 Hampton Roads Pkwy
Suite 40-112
Suffolk, VA 23435-3185
Mailing address
2306 Sandalwood Rd
Virginia Beach, VA 23451-1324
Phone (757) 642-4945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11751 | FL | MD | Chiropractor |
| 0104-557378 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1730545286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 SANDALWOOD RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511324",
"telephone_number": "757-642-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6546 HAMPTON ROADS PKWY",
"address_2": "SUITE 40-112",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353185",
"telephone_number": "757-642-4945",
"fax_number": "757-642-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLIG",
"first_name": "TAYLOR",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "11751",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
- Kaitlyn Boccella, PA-C
- Boldens Innovative Healthcare LLC
- Leigh-Anna Boles
- Brenda Bollenberg
- Chase Bollig, D.C.
- Bon Secours Maryview Nursing Care Center
- Bon Secours Maryview Nursing Care Center LLC
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
- Bon Secours Surgery Center at Harbour View, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.