New Life Chiropractic Clinic LC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW LIFE CHIROPRACTIC CLINIC LC

Practice address

2859 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-7622

Phone

(757) 472-0630

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael John GeherenNPI 1184655912

Title

Owner

Phone

(757) 472-0630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Life 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.

• Michael John Geheren, D.C.

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1184655912
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1881973535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 VIRGINIA BEACH BLVD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527622",
            "telephone_number": "757-472-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 VIRGINIA BEACH BLVD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527622",
            "telephone_number": "757-472-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC CLINIC LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "GEHEREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-472-0630",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184655912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Hope Counseling Services LLC
• New Horizons Healthcare Training
• New Life Substance Abuse & Behavioral Consultants, Inc.
• New Progressions of Virginia, LLC
• New Therapist, LLC
• New Therapist, LLC
• New Truth Counseling, PLLC

• Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.