Organization Active NPI

First Chiropractic &Acupuncture

Doing business as First Chiropractic Clinic

  • Chiropractor
  • Centreville, VA
National Provider Identifier
1215008024
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556574 Issued in VA
Legal business name
FIRST CHIROPRACTIC &ACUPUNCTURE
Doing business as
First Chiropractic Clinic
Practice address
14701 Lee Hwy
Suite 307
Centreville, VA 20121-2137
Phone
(703) 543-4810
Fax
(703) 543-4811
NPI assigned
Nov 13, 2006
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Lee Seob Park, D.C.NPI 1477832459
Title
Chiropractor
Phone
(703) 543-4810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556574 VA Primary

Addresses

Primary practice location

14701 Lee Hwy
Suite 307
Centreville, VA 20121-2137

Mailing address

14701 Lee Hwy
Suite 307
Centreville, VA 20121-2137
Phone (703) 543-4810

Other names 1

  • First Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1215008024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212137",
            "telephone_number": "703-543-4810",
            "fax_number": "703-543-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212137",
            "telephone_number": "703-543-4810",
            "fax_number": "703-543-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHIROPRACTIC &ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "SEOB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-543-4810",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2011; 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.