Organization Active NPI

Mlpa Inc

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1114919446
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1035 Issued in VA
Legal business name
MLPA INC
Practice address
609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721
Phone
(540) 545-7891
Fax
(540) 545-7893
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Michael Allen Pasternack, DC
Title
President
Phone
(540) 545-7891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1035 VA Primary

Addresses

Primary practice location

609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721

Mailing address

609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721
Phone (540) 545-7891

Other identifiers 1

IdentifierTypeStateIssuer
203358OtherANTHEM BCBS

Other names 1

  • Family Chiropractic Center Other name

National Provider Directory

National Provider Directory

Locations

609 Cedar Creek Grade
Ste B
Winchester, VA 22601
Phone (540) 545-7891

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1114919446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "PASTERNACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-545-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "203358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.