Individual provider Active NPI

Jessica Howard, DC

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1073952388
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557054 Issued in VA
Practice address
1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913
Phone
(703) 444-4141
Fax
(703) 444-5407
NPI assigned
Jun 19, 2013
Last updated
May 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557054 VA Primary

Addresses

Primary practice location

1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913

Mailing address

1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913
Phone (703) 444-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714000168 DC Practitioner - Chiropractic 2264650746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 Gallows Rd
Suite A1
Vienna, VA 22182-3962
Phone (703) 442-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultramed Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Howard Chiropractic Clinic Chiropractor CurrentSince Apr 27, 2016 Accepting new patients

Locations

20 Pidgeon Hill Dr
Ste 102
Sterling, VA 20165
Phone (703) 444-4141

1980 Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 442-0800

2110 Gallows Rd
Ste A1
Vienna, VA 22182
Phone (703) 442-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1073952388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 GALLOWS RD",
            "address_2": "STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823913",
            "telephone_number": "703-444-4141",
            "fax_number": "703-444-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 GALLOWS RD",
            "address_2": "STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823913",
            "telephone_number": "703-444-4141",
            "fax_number": "703-444-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.

Verify at the official NPI Registry.