Active NPI
Nova Headache and Chronic Pain Center, PLLC
- Chiropractor
- Burke, VA
National Provider Identifier
1023266756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000501
- Legal business name
- NOVA HEADACHE AND CHRONIC PAIN CENTER, PLLC
- Practice address
- 8993A Cotswold Dr
Burke, VA 22015-1601 - Phone
- (703) 425-5550
- NPI assigned
- Sep 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maureen M Hayes, DC
- Title
- President
- Phone
- (703) 425-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000501 | VA | Primary |
Addresses
Primary practice location
8993A Cotswold Dr
Burke, VA 22015-1601
Mailing address
7712 S Valley Dr
Fairfax Station, VA 22039-2967
Phone (571) 225-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Nova Headache and Chronic Pain Center PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Burke, VA
- NPI 1710376652
Locations
8993A Cotswold Dr
Burke, VA 22015
Phone (703) 425-5550
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Burke, VA
- NPI 1093031213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262044800000",
"number": "1023266756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7712 S VALLEY DR",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220392967",
"telephone_number": "571-225-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8993A COTSWOLD DR",
"city": "BURKE",
"state": "VA",
"postal_code": "220151601",
"telephone_number": "703-425-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA HEADACHE AND CHRONIC PAIN CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-06",
"last_updated": "2009-12-29",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-425-5550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.