Organization Active NPI

National Chiropractic Center, PLLC

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1053631127
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556402 Issued in VA
Legal business name
NATIONAL CHIROPRACTIC CENTER, PLLC
Practice address
299 Herndon Pkwy
Suite 209
Herndon, VA 20170-4467
Phone
(703) 787-7722
Fax
(703) 787-7725
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Brent A Banks, D.C.
Title
Doctor/Owner/President
Phone
(703) 787-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556402 VA Primary

Addresses

Primary practice location

299 Herndon Pkwy
Suite 209
Herndon, VA 20170-4467

Mailing address

299 Herndon Parkway
Suite 209
Herndon, VA 20170-4467
Phone (703) 787-7722

National Provider Directory

National Provider Directory

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": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1053631127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HERNDON PARKWAY",
            "address_2": "SUITE 209",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704467",
            "telephone_number": "703-787-7722",
            "fax_number": "703-787-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HERNDON PKWY",
            "address_2": "SUITE 209",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704467",
            "telephone_number": "703-787-7722",
            "fax_number": "703-787-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-787-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.