Organization Active NPI

Spinal Health Group, LLC

  • Chiropractor
  • Springfield, VA
National Provider Identifier
1235497199
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002096 Issued in VA
Legal business name
SPINAL HEALTH GROUP, LLC
Practice address
5413 Backlick Rd
Suite E
Springfield, VA 22151-3915
Phone
(703) 333-2848
Fax
(703) 333-2016
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Hoi Thanh Huynh, D.C., FIAMANPI 1053482307
Title
President
Phone
(703) 333-2848

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 0104002096 VA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0104002096 VA

Addresses

Primary practice location

5413 Backlick Rd
Suite E
Springfield, VA 22151-3915

Mailing address

5413 Backlick Rd
Suite E
Springfield, VA 22151-3915
Phone (703) 333-2848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000019 DC Part B Supplier - Clinic/Group Practice 6406018456 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, VA; Vienna, VA

National Provider Directory

National Provider Directory
Tax ID family
Spinal Health Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5413 Backlick Rd
#E
Springfield, VA 22151
Phone (703) 333-2848

5413E Backlick Rd
Springfield, VA 22151
Phone (703) 333-2848

Practitioners & affiliated clinicians

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1235497199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 BACKLICK RD",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-333-2848",
            "fax_number": "703-333-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 BACKLICK RD",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-333-2848",
            "fax_number": "703-333-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "HOI",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-333-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002096",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0104002096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.