Organization Active NPI

Justin Quail LLC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1871837294
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557022 Issued in VA
Legal business name
JUSTIN QUAIL LLC
Practice address
4740 Baxter Rd Ste 109
Virginia Beach, VA 23462-4484
Phone
(757) 613-5036
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Justin Quail, D.C.NPI 1093069064
Title
Chiropractor
Phone
(757) 613-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557022 VA Primary

Addresses

Primary practice location

4740 Baxter Rd Ste 109
Virginia Beach, VA 23462-4484

Mailing address

1118 Ocean Pebbles Way
Virginia Beach, VA 23451-6541
Phone (757) 613-5036

National Provider Directory

National Provider Directory

Locations

4740 Baxter Rd
Ste 109
Virginia Beach, VA 23462
Phone (757) 490-8555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1871837294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 OCEAN PEBBLES WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516541",
            "telephone_number": "757-613-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 BAXTER RD STE 109",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624484",
            "telephone_number": "757-613-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN QUAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "QUAIL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "757-613-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.