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TIDEWATER CHIROPRACTIC
NPI 1417097718
Chiropractor in Portsmouth, VA

Active since February 07, 2007
4305 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701(757) 465-7299(757) 465-7282 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER CHIROPRACTIC (NPI 1417097718) is a healthcare organization registered as a chiropractor in Portsmouth, Virginia and active in the NPI registry since February 2007. The organization lists Cornelius Tucker Carwile, President Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1417097718
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTIDEWATER CHIROPRACTIC GROUP P.C.
Location Address4305 PORTSMOUTH BLVDPortsmouth, VA 23701-2539
Mailing Address4305 Portsmouth BlvdPortsmouth, VA 23701-2539 · (757) 465-7299
Phone(757) 465-7299
Fax(757) 465-7282
Organization SubpartNo
Authorized OfficialCornelius Tucker CarwilePresident Clinic Director · (757) 465-7299
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1417097718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001982
Definition
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.
4305 PORTSMOUTH BLVD, Portsmouth, VA 23701
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Other Names 1

Doing Business AsTidewater Chiropractic

Other Identifiers 2

Medicare UPINU76936VA
Medicare PINC09455VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Chiropractic Group P.C.'s NPI number?

The NPI number for Tidewater Chiropractic Group P.C. is 1417097718. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Tidewater Chiropractic.

Where is Tidewater Chiropractic Group P.C. located?

Tidewater Chiropractic Group P.C. is located at 4305 Portsmouth Blvd, Portsmouth, VA 23701. The listed phone number is (757) 465-7299.

What is Tidewater Chiropractic Group P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Chiropractic Group P.C. was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.