Active NPI
Gregory Alden Page, B.S., D.C
- Chiropractor
- Chantilly, VA
National Provider Identifier
1245335884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001411
- Practice address
- 3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279 - Phone
- (703) 378-2698
- Fax
- (703) 378-1451
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001411 | VA | Primary |
Addresses
Primary practice location
3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279
Mailing address
3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279
Phone (703) 378-2698
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109A-PA | Other | VA | CAREFIRST BCBS PROVIDER # |
| 2135574 | Other | VA | MDIPA PROVIDER # |
| 1621623 | Other | VA | MAILHANDLERS PROVIDER # |
| 2135574 | Other | VA | OPTIMUM CHOICE PROVIDER # |
| 3320837 | Other | VA | AETNA HMO PROVIDER # |
| 5226527 | Other | VA | CCN PROVIDER # |
| 1621623 | Other | VA | FIRST HEALTH PROVIDER ID# |
| 2054609 | Other | VA | UNITED HEALTH CARE ID# |
| 237552 | Other | VA | ANTHEM PROVIDER ID# |
| 2135574 | Other | VA | ALLIANCE PROVIDER ID# |
| 1002386 | Other | VA | ASHN PROVIDER ID # |
| 2135574 | Other | VA | MAMSI PROVIDER ID # |
| 5558699 | Other | VA | AETNA NON-HMO PROVIDER # |
| J153 | Other | VA | CAREFIRST BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001411 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- Chantilly, VA
- NPI 1730237124
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245335884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 CENTREVILLE RD",
"address_2": "SUITE 202",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201513279",
"telephone_number": "703-378-2698",
"fax_number": "703-378-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 CENTREVILLE RD",
"address_2": "SUITE 202",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201513279",
"telephone_number": "703-378-2698",
"fax_number": "703-378-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "GREGORY",
"middle_name": "ALDEN",
"name_prefix": "Dr.",
"credential": "B.S., D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PROVIDER #",
"identifier": "109A-PA",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA PROVIDER #",
"identifier": "2135574",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLERS PROVIDER #",
"identifier": "1621623",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE PROVIDER #",
"identifier": "2135574",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER #",
"identifier": "3320837",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN PROVIDER #",
"identifier": "5226527",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER ID#",
"identifier": "1621623",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE ID#",
"identifier": "2054609",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID#",
"identifier": "237552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PROVIDER ID#",
"identifier": "2135574",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN PROVIDER ID #",
"identifier": "1002386",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER ID #",
"identifier": "2135574",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO PROVIDER #",
"identifier": "5558699",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PROVIDER #",
"identifier": "J153",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- 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.