NPIMap

Organization Active NPI

Tgvpc

Doing business as Alternative Wellness Clinic

  • Rehabilitation Chiropractor
  • Sterling, VA
National Provider Identifier
1093838740
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104555757 Issued in VA
Legal business name
TGVPC
Doing business as
Alternative Wellness Clinic
Practice address
2 Pidgeon Hill Dr
Suite 280
Sterling, VA 20165-6145
Phone
(703) 404-1807
Fax
(703) 404-1827
NPI assigned
Apr 9, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Maribel Vazquez, D.C.NPI 1407061674
Title
Owner
Phone
(703) 404-1807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 0104555757 VA Primary

Addresses

Primary practice location

2 Pidgeon Hill Dr
Suite 280
Sterling, VA 20165-6145

Mailing address

2 Pidgeon Hill Dr
Suite 280
Sterling, VA 20165-6145
Phone (703) 404-1807

Other names 1

  • Alternative Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000675 VA Part B Supplier - Clinic/Group Practice 8224198122 Receives reassigned benefits from 5 practitioners
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Locations

2 Pidgeon Hill Dr
Ste 280
Sterling, VA 20165
Phone (703) 404-1807

Practitioners & affiliated clinicians

Practitioners 5

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1093838740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DR",
            "address_2": "SUITE 280",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656145",
            "telephone_number": "703-404-1807",
            "fax_number": "703-404-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DR",
            "address_2": "SUITE 280",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656145",
            "telephone_number": "703-404-1807",
            "fax_number": "703-404-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGVPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-404-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104555757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.