Organization Active NPI

Onehealth Inc

Doing business as Pinecrest Wellness Center

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1023430105
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556040 Issued in VA
Legal business name
ONEHEALTH INC
Doing business as
Pinecrest Wellness Center
Practice address
7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone
(703) 354-2225
Fax
(703) 354-6119
NPI assigned
Jan 9, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Sushil Sims, D.C.NPI 1326107210
Title
Doctor/Owner
Phone
(703) 354-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556040 VA Primary

Addresses

Primary practice location

7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241

Mailing address

7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone (703) 354-2225

Other names 1

  • Pinecrest Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924000336 DC Part B Supplier - Clinic/Group Practice 7113146150 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

Locations

7010 Little River Tpke
Ste 430
Annandale, VA 22003
Phone (703) 354-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1023430105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE 430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE 430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "703-354-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecrest Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.

Verify at the official NPI Registry.