Individual provider Active NPI

Christine Leigh Fallwell, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1821157330
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555854 Issued in VA
Practice address
325 First Colonial Rd Ste D
Virginia Beach, VA 23454-4665
Phone
(757) 498-8700
NPI assigned
Dec 8, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555854 VA Primary

Addresses

Primary practice location

325 First Colonial Rd Ste D
Virginia Beach, VA 23454-4665

Mailing address

1067 Tottenham LN
Virginia Beach, VA 23454-3153
Phone (757) 498-8700

Other practice location 1

825 First Colonial Rd
Ste D
Virginia Beach, VA 23451-4665
Phone (757) 498-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121215000027 VA Practitioner - Chiropractic 3779735949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

837 1St Colonial Rd
Suite a
Virginia Beach, VA 23451-6195
Phone (757) 498-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555854VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lightkeeper Chiropractic PLLC Chiropractor CurrentSince Nov 14, 2012 Accepting new patients

Locations

325 First Colonial Rd
Ste A
Virginia Beach, VA 23454
Phone (757) 340-5966

325 First Colonial Rd
Ste D
Virginia Beach, VA 23454
Phone (757) 498-8700

837 First Colonial Rd
Ste A
Virginia Beach, VA 23451
Phone (757) 222-1764

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1821157330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 TOTTENHAM LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543153",
            "telephone_number": "757-498-8700",
            "fax_number": "757-498-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FIRST COLONIAL RD STE D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544665",
            "telephone_number": "757-498-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 FIRST COLONIAL RD",
            "address_2": "STE D",
            "address_purpose": "LOCATION",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514665",
            "country_code": "US",
            "telephone_number": "757-498-8700",
            "fax_number": "757-222-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLWELL",
        "first_name": "CHRISTINE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555854",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.