Organization Active NPI

Albanese Chiropractic, PC

  • Chiropractor
  • Glen Allen, VA
National Provider Identifier
1972877033
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001721 Issued in VA
Legal business name
ALBANESE CHIROPRACTIC, PC
Practice address
3960 Stillman Pkwy
Suite 110
Glen Allen, VA 23060-4197
Phone
(804) 290-4414
Fax
(804) 290-4416
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Michael John Albanese Jr., D.C.NPI 1932281789
Title
Owner
Phone
(804) 290-4414

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
Chiropractor 111N00000X 0104001721 VA Primary

Addresses

Primary practice location

3960 Stillman Pkwy
Suite 110
Glen Allen, VA 23060-4197

Mailing address

3960 Stillman Pkwy
Suite 110
Glen Allen, VA 23060-4197
Phone (804) 290-4414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120316000769 VA Part B Supplier - Clinic/Group Practice 2769641323 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

3960 Stillman Pkwy
Ste 110
Glen Allen, VA 23060
Phone (804) 290-4414

Practitioners & affiliated clinicians

Practitioners 1

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": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1972877033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 STILLMAN PKWY",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604197",
            "telephone_number": "804-290-4414",
            "fax_number": "804-290-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 STILLMAN PKWY",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604197",
            "telephone_number": "804-290-4414",
            "fax_number": "804-290-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANESE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-290-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2012; 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.