Thalia Chiropractic and Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556719 Issued in VA

Legal business name

THALIA CHIROPRACTIC AND WELLNESS INC

Practice address

611 Station Square CT
Chesapeake, VA 23320-0705

Phone

(703) 371-9525

NPI assigned

Nov 11, 2014

Last updated

Nov 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Matthew King, D.C.

Title

Owner/Chiropractor

Phone

(703) 371-4939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabrina King, D.C.

  • Chiropractor
  • Norfolk, VA
  • NPI 1376877175
  Medicare reassignment

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1750787222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 BONNEY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521741",
            "telephone_number": "757-340-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 STATION SQUARE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200705",
            "telephone_number": "703-371-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THALIA CHIROPRACTIC AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "703-371-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa a Shenouda MD PLLC
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• Kariza Fabiola Tesoro, FNP
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• Amber Teten, O.D.
• Christie Fitzgerald Thaxton, REGISTERED NURSE
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• Chiropractor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.