NPIMap

Organization Active NPI

Spap Holding Corp.

  • Chiropractor
  • King George, VA
National Provider Identifier
1821277369
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556098 Issued in VA
Legal business name
SPAP HOLDING CORP.
Doing business as
King George Family Chiropractic
Practice address
10244 Kings Hwy
King George, VA 22485-3429
Phone
(540) 775-2250
Fax
(540) 775-2448
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Shawn Desmond Pallotti, D.C.
Title
Owner/ Chiropractor
Phone
(540) 775-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556098 VA Primary

Addresses

Primary practice location

10244 Kings Hwy
King George, VA 22485-3429

Mailing address

10244 Kings Hwy
King George, VA 22485-3429
Phone (540) 775-2250

Other identifiers 2

IdentifierTypeStateIssuer
00V310S74OtherVAMEDICARE PROVIDER #
C08674OtherVAMEDICARE GROUP #

Other names 1

  • King George Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

9305 Kings Hwy
#A
King George, VA 22485
Phone (540) 775-2250

10244 Kings Hwy
King George, VA 22485
Phone (540) 658-0888

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1821277369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10244 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-775-2250",
            "fax_number": "540-775-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-775-2250",
            "fax_number": "540-775-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAP HOLDING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PALLOTTI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "540-775-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "00V310S74",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C08674",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King George Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.