Individual provider Active NPI

Venus A. Seleme, D.C.

  • Nutrition Chiropractor
  • Fairfax, VA
National Provider Identifier
1023189420
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104001957 Issued in VA
Practice address
10395 Democracy LN Ste a
Fairfax, VA 22030-2540
Phone
(703) 273-0573
Fax
(703) 273-7056
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0104001957 VA Primary

Addresses

Primary practice location

10395 Democracy LN Ste a
Fairfax, VA 22030-2540

Mailing address

10395 Democracy LN Ste a
Fairfax, VA 22030-2540
Phone (703) 273-0573

Other identifiers 2

IdentifierTypeStateIssuer
490746OtherDCMEDICARE ID
115039OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001957VAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seleme Chiropractic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1023189420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10395 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302540",
            "telephone_number": "703-273-0573",
            "fax_number": "703-273-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302540",
            "telephone_number": "703-273-0573",
            "fax_number": "703-273-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEME",
        "first_name": "VENUS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104001957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "490746",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "115039",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.