Individual provider Active NPI

Christopher T Oliver, D.C.

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1083615074
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001903 Issued in VA
Practice address
1041 Sterling Rd Ste 106
Herndon, VA 20170-3841
Phone
(703) 904-8528
Fax
(703) 904-8529
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001903 VA Primary

Addresses

Primary practice location

1041 Sterling Rd Ste 106
Herndon, VA 20170-3841

Mailing address

1041 Sterling Rd Ste 106
Herndon, VA 20170-3841
Phone (703) 904-8528

Other practice location 1

201 N Maple Ave
Purcellville, VA 20132-6190
Phone (703) 405-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000576 DC Practitioner - ChiropracticPractitioner - Other (Physician) 7416978416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1041 Sterling Rd
Suite 106
Herndon, VA 20170-3841
Phone (703) 904-8528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001903VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Chiropractic and Acupuncture Inc Chiropractor CurrentSince Aug 7, 2008 Accepting new patients
Oliver Pain Relief and Rehab Current Accepting new patients

Locations

208 Elden St
Herndon, VA 20170
Phone (703) 904-8528

1041 Sterling Rd
Ste 106
Herndon, VA 20170
Phone (703) 840-0610

201 N Maple Ave
Purcellville, VA 20132
Phone (703) 405-3108

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1083615074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 STERLING RD STE 106",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703841",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 STERLING RD STE 106",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703841",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201326190",
            "country_code": "US",
            "telephone_number": "703-405-3108",
            "fax_number": "703-904-7829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.