Robert A Duca Jr., D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

0104000700 Issued in VA

Practice address

2136 Gallows Rd
Suite D
Dunn Loring, VA 22027-1036

Phone

(703) 641-4966

Fax

(703) 560-0345

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Diagnostic and Natural Medicine Clinic, PC.

  • Internist Chiropractor
  • Dunn Loring, VA
  • NPI 1467530774
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215045067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD",
            "address_2": "SUITE D",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271036",
            "telephone_number": "703-641-4966",
            "fax_number": "703-560-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD",
            "address_2": "SUITE D",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271036",
            "telephone_number": "703-641-4966",
            "fax_number": "703-560-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104000700",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "DC",
            "license": "CH30005",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "DC 18784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Youngkwon Chang, DDS
• Christine Chen, PTA
• Marche Elaine Covington, LMFT
• CPL Iliff LLC (Iliff Nursing and Rehabilitation Center)
• Vivian Yvette Dade, COTA/L
• Dunn Loring VA Opco LLC (Iliff Nursing and Rehabilitation Center)
• Skeeter Early, COTA/L
• Mahmud R. Elbackush, MD
• Elevate Physical Therapy and Wellness, LLC
• Nazila Ganji, D.D.S.

• Internist Chiropractor in Dunn Loring, VA
• Providers in Dunn Loring, VA by specialty
• Internist Chiropractor in Virginia

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