Organization Active NPI

Rose Chiropractic LLC

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1104152651
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556691 Issued in VA
Legal business name
ROSE CHIROPRACTIC LLC
Practice address
5105A Backlick Rd
Annandale, VA 22003-6005
Phone
(703) 642-8685
Fax
(703) 642-3203
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Rose Moeser, D.C.
Title
Chiropractor
Phone
(703) 642-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556691 VA Primary

Addresses

Primary practice location

5105A Backlick Rd
Annandale, VA 22003-6005

Mailing address

5105A Backlick Rd
Annandale, VA 22003-6005
Phone (703) 642-8685

National Provider Directory

National Provider Directory

Locations

11319 Sunset Hills Rd
Reston, VA 20190
Phone (703) 742-7856

Practitioners & affiliated clinicians

Practitioners 2

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": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1104152651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105A BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-642-8685",
            "fax_number": "703-642-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105A BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-642-8685",
            "fax_number": "703-642-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MOESER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-642-8685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.