Family Chiropractic of Hampton Roads, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556741 Issued in VA

Legal business name

FAMILY CHIROPRACTIC OF HAMPTON ROADS, PLLC

Practice address

1920 Centerville Tpke
Suite 95
Virginia Beach, VA 23464-6800

Phone

(757) 351-3778

Fax

(757) 479-8855

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Charles Jackson, D.C.

Title

Owner/Physician

Phone

(757) 351-3778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1972831113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE",
            "address_2": "SUITE 95",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646800",
            "telephone_number": "757-351-3778",
            "fax_number": "757-479-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE",
            "address_2": "SUITE 95",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646800",
            "telephone_number": "757-351-3778",
            "fax_number": "757-479-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF HAMPTON ROADS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "757-351-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.