Organization Active NPI

Church Point Chiropractic, PC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1962620542
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001416 Issued in VA
Legal business name
CHURCH POINT CHIROPRACTIC, PC
Practice address
4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859
Phone
(757) 460-2522
Fax
(757) 460-3810
NPI assigned
Apr 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Richard William Reinhold, D.C.NPI 1124118294
Title
Clinic Director
Phone
(757) 460-2522

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 0104001416 VA Primary

Addresses

Primary practice location

4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859

Mailing address

4640 Shore Dr
Suite 108
Virginia Beach, VA 23455-2859
Phone (757) 460-2522

Other identifiers 1

IdentifierTypeStateIssuer
320389OtherVABCBS PROVIDER ID NUMBER

Other names 1

  • Reinhold Chiropractic Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060113000602 VA Part B Supplier - Clinic/Group Practice 3779506969 Receives reassigned benefits from 4 practitioners
Practice locations: Suffolk, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1510 Breezeport Way
Suffolk, VA 23435
Phone (757) 638-4500

524 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 460-2522

4640 Shore Dr
Ste 108
Virginia Beach, VA 23455
Phone (757) 321-7776

Practitioners & affiliated clinicians

Practitioners 4

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": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1962620542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 SHORE DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552859",
            "telephone_number": "757-460-2522",
            "fax_number": "757-460-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 SHORE DR",
            "address_2": "SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552859",
            "telephone_number": "757-460-2522",
            "fax_number": "757-460-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH POINT CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "REINHOLD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "757-460-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "320389",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reinhold Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 1, 2010; 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.