Organization Active NPI

Chiropractic Health Clinic of Manassas, Inc.

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1124246277
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000171 Issued in VA
Legal business name
CHIROPRACTIC HEALTH CLINIC OF MANASSAS, INC.
Practice address
9387 Forestwood LN
Manassas, VA 20110-4701
Phone
(703) 361-0251
Fax
(703) 361-8853
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Louis I. Koff, D.C.
Title
President
Phone
(703) 361-0251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000171 VA Primary

Addresses

Primary practice location

9387 Forestwood LN
Manassas, VA 20110-4701

Mailing address

9387 Forestwood LN
Manassas, VA 20110-4701
Phone (703) 361-0251

Other names 1

  • KOFF CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

9387 Forestwood Ln
Manassas, VA 20110
Phone (703) 361-0251

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1124246277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9387 FORESTWOOD LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104701",
            "telephone_number": "703-361-0251",
            "fax_number": "703-361-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9387 FORESTWOOD LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104701",
            "telephone_number": "703-361-0251",
            "fax_number": "703-361-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CLINIC OF MANASSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "KOFF",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-361-0251",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOFF CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.