Countryside Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000556 Issued in VA

Legal business name

COUNTRYSIDE CHIROPRACTIC INC

Practice address

20 Pidgeon Hill Dr
Suite 102
Sterling, VA 20165-6154

Phone

(703) 444-4141

Fax

(703) 444-5407

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Charles Norman Arndt, DC

Title

President

Phone

(703) 444-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Lakay Clovinson, ARNP

  • Adult Health Nurse Practitioner
  • Reston, VA
  • NPI 1710474788
  NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1144211145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PIDGEON HILL DR",
            "address_2": "SUITE 102",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656154",
            "telephone_number": "703-444-4141",
            "fax_number": "703-444-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PIDGEON HILL DR",
            "address_2": "SUITE 102",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656154",
            "telephone_number": "703-444-4141",
            "fax_number": "703-444-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-444-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "105606",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corporate Health Center LLC
• Costco Pharmacy 218
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Countryside Optical
• Beatrice Craiu, PSYD
• Cranial Technologies Inc
• Erin Whitney Crawford, PA-C
• Joanne Crenshaw, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.