Spine Center of Williamsburg

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

014001199 Issued in VA

Legal business name

SPINE CENTER OF WILLIAMSBURG

Practice address

219 McLaws Cir
Williamsburg, VA 23185-5649

Phone

(757) 259-1122

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Croucher, D.C.NPI 1861432734

Title

Doctor

Phone

(757) 259-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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.

• Mark D Croucher, DC

  • Orthopedic Chiropractor
  • Williamsburg, VA
  • NPI 1861432734
  Medicare reassignment Care Compare group NPD Authorized official
• Cierra Jennestreet, DC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1386471258
  Medicare reassignment Care Compare group NPD
• Patricia Ann Dodd, D.C.

  • Chiropractor
  • Kinston, NC
  • NPI 1093045783
  NPD (past)
• Gagan D. Singh, M.D

  • Hospitalist Physician
  • Hartford, CT
  • NPI 1073942462
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1841565140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855649",
            "telephone_number": "757-259-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855649",
            "telephone_number": "757-259-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER OF WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "CROUCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-259-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "014001199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hobart Speegle, DDS
• Britney J Spells
• Teresa Spencer
• Jessica Marye Spicer
• John Spiller
• Seastiana G Springmann, MS
• Ravi Srivastava, MD
• Michael Robert St Louis, P.A.
• Matty Staley
• Anna Stankiewicz, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.