Individual provider Active NPI

Stephen Scott Giltz, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1912010802
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001359 Issued in VA
Practice address
2260 Seashore Shoppes
Virginia Beach, VA 23451-1364
Phone
(757) 496-3353
Fax
(757) 496-9247
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001359VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Farmville Family Chiropractic, PC Chiropractor Past Accepting new patients
Back and Neck Center Chiropractor Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001359 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2260 Seashore Shoppes
Virginia Beach, VA 23451-1364

Mailing address

2260 Seashore Shoppes
Virginia Beach, VA 23451-1364
Phone (757) 496-3353

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
C04782OtherVAMEDICARE PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2013.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1912010802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 SEASHORE SHOPPES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511364",
            "telephone_number": "757-496-3353",
            "fax_number": "757-496-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 SEASHORE SHOPPES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511364",
            "telephone_number": "757-496-3353",
            "fax_number": "757-496-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILTZ",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C04782",
            "state": "VA"
        }
    ],
    "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 Aug 7, 2013; 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.