Organization Active NPI

Carechoice Chiropractic Clinic, P.C.

  • Chiropractor
  • Centreville, VA
National Provider Identifier
1194037184
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556727 Issued in VA
Legal business name
CARECHOICE CHIROPRACTIC CLINIC, P.C.
Practice address
6134 Redwood Square Center
Suite 101
Centreville, VA 20121-2642
Phone
(703) 543-6788
Fax
(703) 543-4778
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Edward Seung-Won Baek, D.C.
Title
Director
Phone
(703) 543-6788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556727 VA Primary

Addresses

Primary practice location

6134 Redwood Square Center
Suite 101
Centreville, VA 20121-2642

Mailing address

6134 Redwood Square Center
Suite 101
Centreville, VA 20121-2642
Phone (703) 543-6788

National Provider Directory

National Provider Directory

Locations

6134 Redwood Square Ctr
Ste 101
Centreville, VA 20121
Phone (703) 222-8600

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1194037184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER",
            "address_2": "SUITE 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212642",
            "telephone_number": "703-543-6788",
            "fax_number": "703-543-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER",
            "address_2": "SUITE 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212642",
            "telephone_number": "703-543-6788",
            "fax_number": "703-543-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECHOICE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SEUNG-WON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-543-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.