Active NPI
Electrolysis Partners
- Health Service Clinic/Center
- Vienna, VA
National Provider Identifier
1174104772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ELECTROLYSIS PARTNERS
- Practice address
- 421 Church St NE
Vienna, VA 22180-4759 - Phone
- (703) 255-7237
- NPI assigned
- Apr 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen Schantz
- Title
- Owner
- Phone
- (703) 255-7237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
421 Church St NE
Vienna, VA 22180-4759
Mailing address
6641 Wakefield Dr Apt 403
Alexandria, VA 22307-6864
Phone (703) 220-6114
National Provider Directory
National Provider DirectoryLocations
421 Church St NE
Vienna, VA 22180
Phone (703) 244-8478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618531200000",
"number": "1174104772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6641 WAKEFIELD DR APT 403",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076864",
"telephone_number": "703-220-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 CHURCH ST NE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804759",
"telephone_number": "703-255-7237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTROLYSIS PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "SCHANTZ",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-255-7237"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"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 Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.