NPIMap

Organization Active NPI

Central Virginia Disc Center

Doing business as Richmond Disc Center

  • Chiropractor
  • Glen Allen, VA
National Provider Identifier
1932498359
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556096 Issued in VA
Legal business name
CENTRAL VIRGINIA DISC CENTER
Doing business as
Richmond Disc Center
Practice address
201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640
Phone
(804) 527-0092
Fax
(804) 527-0211
NPI assigned
Apr 6, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Steven F Shields
Title
Billing Manager
Phone
(804) 282-9133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556096 VA Primary

Addresses

Primary practice location

201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640

Mailing address

201 Concourse Blvd
Suite 102
Glen Allen, VA 23059-5640
Phone (804) 527-0092

Other identifiers 2

IdentifierTypeStateIssuer
0104556096OtherVAVIRGINIA STATE LICENSE
1932498359OtherTYPE TWO NPI

Other names 1

  • Richmond Disc Center Doing business as

National Provider Directory

National Provider Directory

Locations

201 Concourse Blvd
Ste 102
Glen Allen, VA 23059
Phone (804) 282-9133

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1932498359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CONCOURSE BLVD",
            "address_2": "SUITE 102",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595640",
            "telephone_number": "804-527-0092",
            "fax_number": "804-527-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CONCOURSE BLVD",
            "address_2": "SUITE 102",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595640",
            "telephone_number": "804-527-0092",
            "fax_number": "804-527-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA DISC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "804-282-9133"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0104556096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE TWO NPI",
            "identifier": "1932498359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Disc Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.