Organization Active NPI

Skopp Chiropractic, PLLC

  • Sports Physician Chiropractor
  • Alexandria, VA
National Provider Identifier
1154455079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001086 Issued in VA
Legal business name
SKOPP CHIROPRACTIC, PLLC
Practice address
1701 Belle View Blvd
Apt A1
Alexandria, VA 22307-6723
Phone
(703) 721-9600
Fax
(703) 768-3290
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martin J Skopp, DCNPI 1902981236
Title
Doctor
Phone
(703) 721-9600

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
Sports Physician Chiropractor 111NS0005X 0104001086 VA Primary

Addresses

Primary practice location

1701 Belle View Blvd
Apt A1
Alexandria, VA 22307-6723

Mailing address

1701 Belle View Blvd Apt A1
Alexandria, VA 22307-6723
Phone (703) 721-9600

Other identifiers 2

IdentifierTypeStateIssuer
1902981236OtherVAINDIVIDUAL NPI NUMBER
224192OtherVABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100410000056 DC Part B Supplier - Clinic/Group Practice 8325174857 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

1701 Belle View Blvd
Apt A1
Alexandria, VA 22307
Phone (703) 721-9600

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154455079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BELLE VIEW BLVD APT A1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076723",
            "telephone_number": "703-721-9600",
            "fax_number": "703-768-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BELLE VIEW BLVD",
            "address_2": "APT A1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076723",
            "telephone_number": "703-721-9600",
            "fax_number": "703-768-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOPP CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKOPP",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-721-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1902981236",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "224192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.