DR. KENNETH ARTHUR DEGIORGIO (NPI# 1457413106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457413106 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ARTHUR DEGIORGIO |
| Credential | DC |
| Practice Address |
3809 Princess Anne Rd Ste 117 Virginia Beach VA 23456-1900 |
| Mailing Address |
3192 Winterberry Ln Virginia Beach VA 23453-5952 |
| Practice Telephone | 7574719008 |
| Practice Fax Number | 7579656256 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001829 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PROVIDER NUMBER | 102595 | 01 |
| VA | CIGNA PROVIDER NUMBER | 3651805 | 01 |
| VA | UNITEDHEALTHCARE PROVIDER | 4400151 | 01 |
| VA | AETNA PROVIDER NUMBER | 5698700 | 01 |
| Street Address |
3809 PRINCESS ANNE RD STE 117 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174725519 | Princess One Chiropractic PC | Chiropractor | 3809 Princess Anne Rd Ste 117, Virginia Beach, VA 23456-1900 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1831733310 | Kenneth Ross Ellul | Chiropractor | 2236 General Booth Blvd Ste 110, Virginia Beach, VA 23456-4092 | 2019-10-29 |
| 1376190520 | Ralph Nebling | Chiropractor | 917 Horseshoe Ct, Virginia Beach, VA 23451-5924 | 2019-08-22 |
| 1659934891 | Krista Frank | Chiropractor | 4640 Shore Dr Ste 108, Virginia Beach, VA 23455-2859 | 2019-04-14 |
| 1518455484 | Scott M. Ponquinette | Chiropractor | 633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200 | 2018-04-26 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1245756717 | Adam Blower | Chiropractor | 1932 Kempsville Rd Ste 103, Virginia Beach, VA 23464-6954 | 2017-08-16 |
| 1700226610 | Lightkeeper Chiropractic Pllc | Chiropractor | 325 First Colonial Rd, Suite A, Virginia Beach, VA 23454-4665 | 2013-06-25 |
| 1871837294 | Justin Quail LLC | Chiropractor | 4740 Baxter Rd Ste 109, Virginia Beach, VA 23462-4484 | 2012-11-26 |
| 1134463730 | Parmiter Inc | Chiropractor | 5072 Ferrell Pkwy, Virginia Beach, VA 23464-8894 | 2012-11-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on DR. KENNETH ARTHUR DEGIORGIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.