Michael Connelly DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556979 Issued in VA

Legal business name

MICHAEL CONNELLY DC PLLC

Doing business as

Ocean View Chiropractic

Practice address

9617 Granby St
Norfolk, VA 23503-1625

Phone

(757) 588-4000

Fax

(757) 588-4001

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By 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

Dr. Michael W Connelly, DCNPI 1790077576

Title

Owner/ DC

Phone

(757) 588-4000

Specialties & licenses 1

Addresses

Other names 1

• Ocean View Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Michael Walter Connelly, D.C.

  • Chiropractor
  • South Hackensack, NJ
  • NPI 1790077576

  VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1841621877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235031625",
            "telephone_number": "757-588-4000",
            "fax_number": "757-588-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235031625",
            "telephone_number": "757-588-4000",
            "fax_number": "757-588-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CONNELLY DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ DC",
        "authorized_official_telephone_number": "757-588-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean View Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.