Family and Sports Chiropractic ,Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001865 Issued in VA

Legal business name

FAMILY AND SPORTS CHIROPRACTIC ,INC.

Practice address

7202 Arlington Blvd
Suite 204
Falls Church, VA 22042-1859

Phone

(703) 560-4730

Fax

(703) 560-4731

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas John Wetzen, D.C.NPI 1679652424

Title

President/Owner

Phone

(703) 560-4730

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Family and Sport Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family and Sport Chiropractic

  • Chiropractor
  • Falls Church, VA
  • NPI 1477009108
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas John Wetzen, D.C.

  • Chiropractor
  • Falls Church, VA
  • NPI 1679652424

  DC

  Medicare reassignment NPD Authorized official
• Yasaman Khan-Shaghaghi, D.C.

  • Chiropractor
  • Falls Church, VA
  • NPI 1669899258
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194804955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 ARLINGTON BLVD",
            "address_2": "SUITE 204",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421859",
            "telephone_number": "703-560-4730",
            "fax_number": "703-560-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 ARLINGTON BLVD",
            "address_2": "SUITE 204",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421859",
            "telephone_number": "703-560-4730",
            "fax_number": "703-560-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND SPORTS CHIROPRACTIC ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WETZEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "703-560-4730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "139135",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Falls Church Wellness Center
• Abiodun Olatunde Falowo
• Mohammad Ali Falsafi
• Linda Domenica Fama, PHD
• Family and Sport Chiropractic
• Family Center Counseling
• Family Home Care Agency
• Family Home Care Provider LLC
• Family Home Health Care Inc
• Family Home Health Care Inc.

• Chiropractor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Chiropractor in Virginia

• 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.