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SPINE CARE OF TIDEWATER PC
NPI 1790823292
Chiropractor in Newport News, VA

Active since February 05, 2007
11872 CANON BLVD STE D, NEWPORT NEWS, VA 23606(757) 873-8483(757) 873-1150 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spine Care Of Tidewater Pc NPPES

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

SPINE CARE OF TIDEWATER PC (NPI 1790823292) is a healthcare organization registered as a chiropractor in Newport News, Virginia and active in the NPI registry since February 2007. The organization lists Kevin J. Westby, President, as its authorized official.

NPPES Registry Identity

NPI1790823292
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE CARE OF TIDEWATER PC
Location Address11872 CANON BLVD STE DNewport News, VA 23606-4239
Mailing Address11872 Canon Blvd Ste DNewport News, VA 23606-4239 · (757) 873-8483 · Fax (757) 873-1150
Phone(757) 873-8483
Fax(757) 873-1150
Organization SubpartNo
Authorized OfficialKevin J. WestbyPresident · (757) 873-8483
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 14, 2007
✔ NPI 1790823292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104000693
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.
11872 CANON BLVD STE D, Newport News, VA 23606
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Other Identifiers 1

Medicare PINC10140

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Care Of Tidewater Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine Care Of Tidewater PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kevin Westby, D.C.
Chiropractic
NPI 1720198377
2216 EXECUTIVE DR SUITE A
Hampton, VA 23666
(757) 827-3210
✔ Accepts Medicare5.2 mi
Randall Miers, D.C.
Chiropractic
NPI 1164509220
1204 E PEMBROKE AVE
Hampton, VA 23669
(757) 723-1496
✔ Accepts Medicare9.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine Care Of Tidewater PC's NPI number?

The NPI number for Spine Care Of Tidewater PC is 1790823292. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Spine Care Of Tidewater PC located?

Spine Care Of Tidewater PC is located at 11872 Canon Blvd Ste D, Newport News, VA 23606. The listed phone number is (757) 873-8483.

What is Spine Care Of Tidewater PC's specialty?

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

Is Spine Care Of Tidewater PC enrolled in Medicare?

Yes. Spine Care Of Tidewater PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Care Of Tidewater PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Spine Care Of Tidewater PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine Care Of Tidewater PC was last updated on December 14, 2007. 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.