Individual provider Active NPI

Lloyd Carlton Holmes Jr., D.C.

  • Chiropractor
  • Reston, VA
National Provider Identifier
1184014623
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557310 Issued in VA
Practice address
1760 Reston Pkwy
Ste 310
Reston, VA 20190-3359
Phone
(703) 471-4600
NPI assigned
Feb 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557310 VA Primary

Addresses

Primary practice location

1760 Reston Pkwy
Ste 310
Reston, VA 20190-3359

Mailing address

1760 Reston Pkwy
Ste 310
Reston, VA 20190-3359
Phone (703) 471-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557310VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor CurrentSince Oct 3, 2022 Accepting new patients

Locations

2563 Forest Dr
#201
Annapolis, MD 21401
Phone 4438425500203

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1184014623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-471-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-471-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LLOYD",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.