NPIMap

Organization Active NPI

Commonwealth Chiropractic Center of Reston, P.C.

  • Chiropractor
  • Reston, VA
National Provider Identifier
1215084306
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000966 Issued in VA
Legal business name
COMMONWEALTH CHIROPRACTIC CENTER OF RESTON, P.C.
Practice address
11495 Sunset Hills Rd Ste 240
Reston, VA 20190-5257
Phone
(703) 742-7856
Fax
(703) 742-4064
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Ronald Stephan Kulik II, D.C.NPI 1063508919
Title
President
Phone
(703) 742-7856

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000966 VA Primary

Addresses

Primary practice location

11495 Sunset Hills Rd Ste 240
Reston, VA 20190-5257

Mailing address

11495 Sunset Hills Rd Ste 240
Reston, VA 20190-5257
Phone (703) 742-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620000548 DC Part B Supplier - Clinic/Group Practice 5799729869 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

11319 Sunset Hills Rd
Ste 240
Reston, VA 20190
Phone (703) 742-7856

11495 Sunset Hills Rd
Ste 240
Reston, VA 20190
Phone (703) 742-7856

Practitioners & affiliated clinicians

Practitioners 4

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1215084306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11495 SUNSET HILLS RD STE 240",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905257",
            "telephone_number": "703-742-7856",
            "fax_number": "703-742-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11495 SUNSET HILLS RD STE 240",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905257",
            "telephone_number": "703-742-7856",
            "fax_number": "703-742-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CHIROPRACTIC CENTER OF RESTON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "KULIK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-742-7856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.