NPIMap

Organization Active NPI

Rapha Spine & Neuro Center-Annandale, Inc.

Doing business as Rapha Clinic

  • Chiropractor
  • Potomac Falls, VA
National Provider Identifier
1205036597
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001364 Issued in VA
Legal business name
RAPHA SPINE & NEURO CENTER-ANNANDALE, INC.
Doing business as
Rapha Clinic
Practice address
46161 Westlake Dr
Suite 330
Potomac Falls, VA 20165-5871
Phone
(703) 444-4030
Fax
(703) 444-4142
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Daniel J. Lee, DCNPI 1780792549
Title
Director
Phone
(703) 444-4030

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001364 VA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0104001364 VA

Addresses

Primary practice location

46161 Westlake Dr
Suite 330
Potomac Falls, VA 20165-5871

Mailing address

46161 Westlake Dr
Suite 330
Potomac Falls, VA 20165-5871
Phone (703) 444-4030

Other names 1

  • RAPHA CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

4115 Annandale Rd
Ste 207
Annandale, VA 22003
Phone (703) 642-8722

1700 N Moore St
#M3
Arlington, VA 22209
Phone (703) 816-5900

1700 N Moore St
Ste M3
Arlington, VA 22209
Phone (703) 816-5900

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1205036597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 330",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-444-4030",
            "fax_number": "703-444-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 330",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-444-4030",
            "fax_number": "703-444-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA SPINE & NEURO CENTER-ANNANDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-444-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001364",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0104001364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPHA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.