Individual provider Active NPI

Adam Nathaniel Gold, D.C.

  • Chiropractor
  • Newport News, VA
National Provider Identifier
1851550206
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556734 Issued in VA
Practice address
11842 Rock Landing Dr
Suite 110
Newport News, VA 23606-4437
Phone
(757) 873-9580
Fax
(757) 873-9050
NPI assigned
Jun 2, 2008
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556734 VA Primary
Chiropractor 111N00000X 3866 NC

Addresses

Primary practice location

11842 Rock Landing Dr
Suite 110
Newport News, VA 23606-4437

Mailing address

6546 Hampton Roads Pkwy
Ste 112
Suffolk, VA 23435-3185
Phone (757) 296-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000001 VA Practitioner - Chiropractic 6800962713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Source Chiropractic LLCGroup PAC ID 2163707738, 3 clinicians

Practice addresses (Care Compare)

6546 Hampton Roads Pkwy
Suite 112
Suffolk, VA 23435-3185
Phone (757) 296-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3866NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Source Chiropractic LLC Chiropractor CurrentSince Oct 26, 2020 Accepting new patients
Port City Chiropractic Inc. Chiropractor Past Accepting new patients
Summit Medical Diagnostics Inc Past Accepting new patients

Locations

6546 Hampton Roads Pkwy
Ste 112
Suffolk, VA 23435
Phone (757) 296-2225

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1851550206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 HAMPTON ROADS PKWY",
            "address_2": "STE 112",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353185",
            "telephone_number": "757-296-2225",
            "fax_number": "757-977-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-9580",
            "fax_number": "757-873-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ADAM",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556734",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.