Organization Active NPI

Vienna Chiropractic Associates PC

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1144389032
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIENNA CHIROPRACTIC ASSOCIATES PC
Practice address
407 Church St NE
C
Vienna, VA 22180-4737
Phone
(703) 938-6441
Fax
(703) 319-3978
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Charles Stefan Masarsky, DCNPI 1073672960
Title
Security Officer
Phone
(703) 938-6641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

407 Church St NE
C
Vienna, VA 22180-4737

Mailing address

PO Box 1634
Vienna, VA 22183-1634
Phone (703) 938-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110617000319 DC Part B Supplier - Clinic/Group Practice 5698953842 Receives reassigned benefits from 2 practitioners
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

407 Church St NE
Ste C
Vienna, VA 22180
Phone (703) 938-6441

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1144389032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1634",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221831634",
            "telephone_number": "703-938-6441",
            "fax_number": "703-319-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE",
            "address_2": "C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-938-6441",
            "fax_number": "703-319-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA CHIROPRACTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MASARSKY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STEFAN",
        "authorized_official_title_or_position": "SECURITY OFFICER",
        "authorized_official_telephone_number": "703-938-6641",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.