Active NPI
Rose Chiropractic LLC
- Chiropractor
- Annandale, VA
National Provider Identifier
1104152651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556691
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Reston, VA
- NPI 1063508919
-
- Sports Physician Chiropractor
- Reston, VA
- NPI 1639242779
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.