Marion H Constantinides, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556540 Issued in VA

Practice address

4532 Bonney Rd D
Virginia Beach, VA 23462-3870

Phone

(757) 965-2476

Fax

(877) 478-9429

NPI assigned

Aug 18, 2006

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Marion H Odell Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis MedicalGroup PAC ID 4789069279, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Axis Medical

  • Multi-Specialty Clinic/Center
  • Virginia Beach, VA
  • NPI 1871247759

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Applied Health Chiropractic

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1699067678
  Authorized official Same address or phone
• Ives Associates, P.C.

  dba Cedarwood Chiropractic Clinic

  • Chiropractor
  • Norfolk, VA
  • NPI 1992710628
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1831203033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 BONNEY RD D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623870",
            "telephone_number": "757-965-2476",
            "fax_number": "877-478-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 BONNEY RD D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623870",
            "telephone_number": "757-965-2476",
            "fax_number": "877-478-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4542 Bonney Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623867",
            "country_code": "US",
            "telephone_number": "757-965-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINIDES",
        "first_name": "MARION",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-02-09",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713674",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "ODELL",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.