Active NPI
Klemm Chiropractic Center, P.C.
- Chiropractor
- Falls Church, VA
National Provider Identifier
1093970295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000410
- Legal business name
- KLEMM CHIROPRACTIC CENTER, P.C.
- Practice address
- 6334 Columbia Pike
Falls Church, VA 22041-1219 - Phone
- (703) 941-3601
- NPI assigned
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerald William Klemm, D.C.
- Title
- President
- Phone
- (703) 941-3601
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000410 | VA | Primary |
Addresses
Primary practice location
6334 Columbia Pike
Falls Church, VA 22041-1219
Mailing address
6334 Columbia Pike
Falls Church, VA 22041-1219
Phone (703) 941-3601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942474986 | Other | VA | INDIVIDUAL NPI |
| G01602 | Other | VA | MEDICARE PTEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1093970295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6334 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411219",
"telephone_number": "703-941-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6334 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411219",
"telephone_number": "703-941-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEMM CHIROPRACTIC CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "KLEMM",
"authorized_official_first_name": "JERALD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-941-3601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1942474986",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTEN",
"identifier": "G01602",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.