Individual provider Active NPI

Kevin Babin, DC

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1871250969
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557776 Issued in VA
Practice address
4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415
Phone
(757) 208-7108
NPI assigned
Nov 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557776 VA Primary

Addresses

Primary practice location

4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415

Mailing address

4511 John Tyler Hwy Ste B
Williamsburg, VA 23185-2415
Phone (757) 208-7108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208000511 VA Practitioner - Chiropractic 8628468576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via Vitae Chiropractic LLCGroup PAC ID 2567724834, 2 clinicians

Practice addresses (Care Compare)

4511 John Tyler Hwy
Suite B
Williamsburg, VA 23185-2415
Phone (757) 208-7108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557776VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Via Vitae Chiropractic LLC Chiropractor CurrentSince Nov 5, 2021 Accepting new patients

Locations

4511 John Tyler Hwy
Ste B
Williamsburg, VA 23185
Phone (757) 208-7108

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1871250969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HWY STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852415",
            "telephone_number": "757-208-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HWY STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852415",
            "telephone_number": "757-208-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.