Rebound Chiropractic Health Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000671 Issued in VA

Legal business name

REBOUND CHIROPRACTIC HEALTH CENTER LTD

Practice address

11790 Jefferson Ave
#205
Newport News, VA 23606

Phone

(757) 873-8701

Fax

(757) 873-6737

NPI assigned

Jul 26, 2006

Last updated

May 29, 2008By 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

Vincent T Joseph, DCNPI 1922038421

Title

President

Phone

(757) 873-8701

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Rebound Chiropractic & Acupuncture Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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.

• Vincent Thomas Joseph, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1922038421
  Medicare reassignment Care Compare group NPD Authorized official
• Woodrow C. L. Holmes, D.C.

  • Chiropractor
  • Newport News, VA
  • NPI 1386858074
  Medicare reassignment Care Compare group NPD
• Travis Dean Rafdal, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1629007562
  Medicare reassignment Care Compare group NPD
• Bradford Thomas Wolf, DC

  • Chiropractor
  • Newport News, VA
  • NPI 1780563163
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1801819057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 JEFFERSON AVE",
            "address_2": "STE 205",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-8701",
            "fax_number": "757-873-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 JEFFERSON AVE",
            "address_2": "#205",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-8701",
            "fax_number": "757-873-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND CHIROPRACTIC HEALTH CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-873-8701",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000671",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556169",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0104000671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMM",
            "identifier": "990010356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "274506",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebound Chiropractic & Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Newport News, VA
• Providers in Newport News, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.