Organization Active NPI

Salt & Light Chiropractic, Inc.

Doing business as Salt & Light Chiropractic

  • Chiropractor
  • Springfield, VA
National Provider Identifier
1124678339
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SALT & LIGHT CHIROPRACTIC, INC.
Doing business as
Salt & Light Chiropractic
Practice address
6225 Brandon Ave Ste 175
Springfield, VA 22150-2519
Phone
(202) 352-3396
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Candace Bahk Kim, DCNPI 1992355473
Title
Owner/Chiropractor
Phone
(202) 352-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6225 Brandon Ave Ste 175
Springfield, VA 22150-2519

Mailing address

485 Harbor Side St Apt 402
Woodbridge, VA 22191-5458
Phone (202) 352-3396

Other names 1

  • Salt & Light Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6225 Brandon Ave
Ste 175
Springfield, VA 22150
Phone (202) 352-3396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1124678339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HARBOR SIDE ST APT 402",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915458",
            "telephone_number": "202-352-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 175",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502519",
            "telephone_number": "202-352-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "BAHK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "202-352-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt & Light Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.