NPIMap

Organization Active NPI

Atlantic Chiropractic and Rehabilitation PC

  • Rehabilitation Chiropractor
  • Chesapeake, VA
National Provider Identifier
1962656934
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
885 Issued in VA
Legal business name
ATLANTIC CHIROPRACTIC AND REHABILITATION PC
Practice address
115 Kempsville Rd
Ste. 1
Chesapeake, VA 23320-3857
Phone
(757) 547-2045
Fax
(757) 547-2027
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Eric Carl Santjer, D.C.NPI 1417929266
Title
Doctor of Chiropractic
Phone
(757) 547-2045

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 885 VA Primary

Addresses

Primary practice location

115 Kempsville Rd
Ste. 1
Chesapeake, VA 23320-3857

Mailing address

115 Kempsville Rd
Suite One
Chesapeake, VA 23320-3857
Phone (757) 547-2045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221001044 VA Part B Supplier - Clinic/Group Practice 0840212544 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

115 Kempsville Rd
Ste 1
Chesapeake, VA 23320
Phone (757) 547-2045

Practitioners & affiliated clinicians

Practitioners 2

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": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1962656934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KEMPSVILLE RD",
            "address_2": "SUITE ONE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203857",
            "telephone_number": "757-547-2045",
            "fax_number": "757-547-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KEMPSVILLE RD",
            "address_2": "STE. 1",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203857",
            "telephone_number": "757-547-2045",
            "fax_number": "757-547-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIROPRACTIC AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SANTJER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "757-547-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.