Organization Active NPI

Dr. Paul H. Rhyu D.C.,O.M.D,PC

  • Sports Physician Chiropractor
  • Fairfax, VA
National Provider Identifier
1063551364
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104556453 Issued in VA
Legal business name
DR. PAUL H. RHYU D.C.,O.M.D,PC
Practice address
10090 Main St
Suite 103
Fairfax, VA 22031-3412
Phone
(703) 359-7272
NPI assigned
Feb 5, 2007
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Paul RhyuNPI 1497826341
Title
Clinic Director
Phone
(703) 359-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 0104556453 VA Primary

Addresses

Primary practice location

10090 Main St
Suite 103
Fairfax, VA 22031-3412

Mailing address

10090 Main St
Suite 103
Fairfax, VA 22031-3412
Phone (703) 359-7272

National Provider Directory

National Provider Directory

Locations

10090 Main St
Ste 103
Fairfax, VA 22031
Phone (703) 359-7272

Practitioners & affiliated clinicians

Practitioners 2

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1063551364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MAIN ST",
            "address_2": "SUITE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313412",
            "telephone_number": "703-359-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MAIN ST",
            "address_2": "SUITE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313412",
            "telephone_number": "703-359-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL H. RHYU D.C.,O.M.D,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "RHYU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "703-359-7272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104556453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.