Active NPI
Ronald Stephan Kulik II, D.C.
- Chiropractor
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000966
- Practice address
- 11495 Sunset Hills Rd Ste 240
Reston, VA 20190-5257 - Phone
- (703) 742-7856
- Fax
- (703) 740-4064
- NPI assigned
- Oct 5, 2006
- Last updated
- Feb 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000966 | VA | Primary |
Addresses
Primary practice location
11495 Sunset Hills Rd Ste 240
Reston, VA 20190-5257
Mailing address
11664 Preference Way
Herndon, VA 20170-2486
Phone (703) 505-1677
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dr.kulik@cccreston.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11495 Sunset Hills Rd
Suite 240
Reston, VA 20190-5257
Phone (703) 742-7856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000966 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Therapies LLC | Chiropractor | Current | Accepting new patients |
| Commonwealth Chiropractic Center of Reston, P.C. | Chiropractor | Current | Accepting new patients |
| Rose Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
11319 Sunset Hills Rd
Reston, VA 20190
Phone (703) 742-7856
11495 Sunset Hills Rd
Ste 240
Reston, VA 20190
Phone (703) 742-7556
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Reston, VA
- NPI 1144815218
-
- Chiropractor
- Annandale, VA
- NPI 1104152651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1063508919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11664 PREFERENCE WAY",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702486",
"telephone_number": "703-505-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11495 SUNSET HILLS RD STE 240",
"city": "RESTON",
"state": "VA",
"postal_code": "201905257",
"telephone_number": "703-742-7856",
"fax_number": "703-740-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULIK",
"first_name": "RONALD",
"middle_name": "STEPHAN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000966",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "dr.kulik@cccreston.com",
"affiliation": "N",
"address_1": "11495 Sunset Hills Rd Ste 240",
"city": "Reston",
"state": "VA",
"country_code": "US",
"postal_code": "201905257",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.