Active NPI
Erica Ms Statman, D.C.DI.C.C.P.
- Chiropractor
- Fairfax, VA
National Provider Identifier
1104970938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001952
- Practice address
- 10807 Main St
Suite 800
Fairfax, VA 22030-4730 - Phone
- (703) 383-1630
- Fax
- (703) 383-1631
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001952 | VA | Primary |
Addresses
Primary practice location
10807 Main St
Suite 800
Fairfax, VA 22030-4730
Mailing address
10807 Main St
Suite 800
Fairfax, VA 22030-4730
Phone (703) 383-1630
Other names 1
- Erica Ms Schachner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10807 Main St
Fairfax, VA 22030-4730
Phone (703) 383-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001952 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Fairfax Acupuncture Center, Inc. | Past | Accepting new patients |
Locations
10807 Main St
Ste 800
Fairfax, VA 22030
Phone (703) 383-1630
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Fairfax, VA
- NPI 1962752733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1104970938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10807 MAIN ST",
"address_2": "SUITE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304730",
"telephone_number": "703-383-1630",
"fax_number": "703-383-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10807 MAIN ST",
"address_2": "SUITE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304730",
"telephone_number": "703-383-1630",
"fax_number": "703-383-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATMAN",
"first_name": "ERICA",
"middle_name": "MS",
"name_prefix": "Dr.",
"credential": "D.C.DI.C.C.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "SCHACHNER",
"middle_name": "MS",
"credential": "D.C.DI.C.C.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.