Active NPI
Kevin Patrick Ward, D.C.
- Rehabilitation Chiropractor
- Fairfax, VA
National Provider Identifier
1215217740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104556919
- Practice address
- 10515 Braddock Rd
Suite B
Fairfax, VA 22032-2236 - Phone
- (703) 672-1661
- Fax
- (703) 293-2954
- NPI assigned
- Aug 29, 2011
- Last updated
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104556919 | VA | Primary |
Addresses
Primary practice location
10515 Braddock Rd
Suite B
Fairfax, VA 22032-2236
Mailing address
437 Hampton CT
Falls Church, VA 22046-4121
Phone (814) 571-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10515 Braddock Rd
Suite B
Fairfax, VA 22032-2272
Phone (703) 672-1661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556919 | VA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ward Chiropractic and Rehabilitation | Rehabilitation | Current | Accepting new patients |
| Jennifer M. Lee, LTD | Past | Accepting new patients |
Locations
10515 Braddock Rd
Ste B
Fairfax, VA 22032
Phone (703) 672-1661
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1215217740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 HAMPTON CT",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464121",
"telephone_number": "814-571-0027",
"fax_number": "703-293-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BRADDOCK RD",
"address_2": "SUITE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322236",
"telephone_number": "703-672-1661",
"fax_number": "703-293-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-29",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104556919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.