Upper Cervical Chiropractic Group, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

UPPER CERVICAL CHIROPRACTIC GROUP, PLLC

Practice address

3313 Duke St
Alexandria, VA 22314-4522

Phone

(703) 823-3704

NPI assigned

Nov 24, 2012

Organization subpart

No

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

Authorized official

Name

Jacob Dodds, D.C.

Title

Registered Agent/Member

Phone

(319) 389-9985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353715200000",
    "number": "1104160571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522",
            "telephone_number": "703-823-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CERVICAL CHIROPRACTIC GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-24",
        "last_updated": "2012-11-24",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER",
        "authorized_official_telephone_number": "319-389-9985",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.