Active NPI
Ross Weinberg, D.C.
- Chiropractor
- Woodbridge, VA
National Provider Identifier
1154324085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000798
- Practice address
- 12801 Darby Brook CT Ste 102
Woodbridge, VA 22192-2497 - Phone
- (703) 497-2020
- Fax
- (703) 492-6105
- NPI assigned
- May 24, 2005
- Last updated
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000798 | VA | Primary |
Addresses
Primary practice location
12801 Darby Brook CT Ste 102
Woodbridge, VA 22192-2497
Mailing address
12801 Darby Brook CT Ste 102
Woodbridge, VA 22192-2497
Phone (703) 497-2020
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023916 | Other | VA | AETNA HEALTHCARE |
| 215560 | Other | VA | MDIPA, MAMSI |
| 504133 | Other | VA | NCPPO |
| 231686 | Other | VA | BC/BS |
| 75190 | Other | VA | NCAS |
| 9430604001 | Other | VA | CIGNA |
| S398-001 | Other | VA | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111207000847 | VA | Practitioner - Chiropractic | 2769657451 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000798 | VA | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Woodbridge, VA
- NPI 1932269057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1154324085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 DARBY BROOK CT STE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922497",
"telephone_number": "703-497-2020",
"fax_number": "703-492-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 DARBY BROOK CT STE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922497",
"telephone_number": "703-497-2020",
"fax_number": "703-492-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "1023916",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA, MAMSI",
"identifier": "215560",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "504133",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "231686",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAS",
"identifier": "75190",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9430604001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "S398-001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.