NPIMap

Organization Active NPI

Chester Family Chiropractic Center P C

  • Chiropractor
  • Chester, VA
National Provider Identifier
1811914591
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001015 Issued in VA
Legal business name
CHESTER FAMILY CHIROPRACTIC CENTER P C
Practice address
4700 Buckingham CT
Chester, VA 23831-4261
Phone
(804) 796-3221
Fax
(804) 796-1500
NPI assigned
Jul 17, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Adam Elbaum, D.C.NPI 1225056948
Title
President
Phone
(804) 796-3221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104001015 VA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104000950 VA

Addresses

Primary practice location

4700 Buckingham CT
Chester, VA 23831-4261

Mailing address

4700 Buckingham CT
Chester, VA 23831-4261
Phone (804) 796-3221

Other identifiers 2

IdentifierTypeStateIssuer
082600OtherVAANTHEM BCBS
8945063MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000085 VA Part B Supplier - Clinic/Group Practice 6709806862 Receives reassigned benefits from 7 practitioners
Practice locations: Chester, VA

National Provider Directory

National Provider Directory

Locations

4700 Buckingham Ct
Chester, VA 23831
Phone (804) 796-3221

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1811914591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BUCKINGHAM CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314261",
            "telephone_number": "804-796-3221",
            "fax_number": "804-796-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BUCKINGHAM CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314261",
            "telephone_number": "804-796-3221",
            "fax_number": "804-796-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER FAMILY CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "ELBAUM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-796-3221",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001015",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "082600",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945063",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.