Active NPI
John J Welch III, DC
- Chiropractor
- Virginia Beach, VA
National Provider Identifier
1750357901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001423
- Practice address
- 240 Mustang Trail
Suite 3
Virginia Beach, VA 23452-7516 - Phone
- (757) 486-3222
- Fax
- (757) 498-7353
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001423 | VA | Primary |
Addresses
Primary practice location
240 Mustang Trail
Suite 3
Virginia Beach, VA 23452-7516
Mailing address
240 Mustang Trail
Suite 3
Virginia Beach, VA 23452-7516
Phone (757) 486-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000300632 | Medicaid | VA |
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 |
|---|---|---|---|
| 0104001423 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246752000000",
"number": "1750357901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MUSTANG TRAIL",
"address_2": "SUITE 3",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527516",
"telephone_number": "757-486-3222",
"fax_number": "757-498-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MUSTANG TRAIL",
"address_2": "SUITE 3",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527516",
"telephone_number": "757-486-3222",
"fax_number": "757-498-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2009-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000300632",
"state": "VA"
}
],
"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 Jul 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.