Organization Active NPI

Jan Stephen Sumner, D.C.,P.C.

  • Chiropractor
  • Reston, VA
National Provider Identifier
1053479568
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000166 Issued in VA
Legal business name
JAN STEPHEN SUMNER, D.C.,P.C.
Practice address
11250 Roger Bacon Dr
Suite 4
Reston, VA 20190-5219
Phone
(703) 437-3053
Fax
(703) 437-4310
NPI assigned
Dec 5, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Jan Stephen Sumner, D.C.
Title
President
Phone
(703) 437-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000166 VA Primary

Addresses

Primary practice location

11250 Roger Bacon Dr
Suite 4
Reston, VA 20190-5219

Mailing address

11250 Roger Bacon Dr
Suite 4
Reston, VA 20190-5219
Phone (703) 437-3053

National Provider Directory

National Provider Directory

Locations

11250 Roger Bacon Dr
Ste 4
Reston, VA 20190
Phone (703) 437-3053

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1053479568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 4",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-437-3053",
            "fax_number": "703-437-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 4",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-437-3053",
            "fax_number": "703-437-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN STEPHEN SUMNER, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-3053",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.