Active NPI
Christine Leigh Fallwell, D.C.
- Chiropractor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555854
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104555854 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightkeeper Chiropractic PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Virginia Beach, VA
- NPI 1700226610
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.