Organization Active NPI

Keith Schreffler DC, LLC.

Doing business as Schreffler Chiropractic

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1245507086
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001699 Issued in VA
Legal business name
KEITH SCHREFFLER DC, LLC.
Doing business as
Schreffler Chiropractic
Practice address
2055 15TH St N
Suite 201
Arlington, VA 22201-2680
Phone
(703) 465-1213
Fax
(703) 465-1211
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Keith Schreffler, DCNPI 1134291511
Title
Owner
Phone
(703) 465-1213

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
Chiropractor 111N00000X 0104001699 VA Primary

Addresses

Primary practice location

2055 15TH St N
Suite 201
Arlington, VA 22201-2680

Mailing address

2055 15TH St N
Suite 201
Arlington, VA 22201-2680
Phone (703) 465-1213

Other identifiers 2

IdentifierTypeStateIssuer
208955OtherVAANTHEM
490123OtherVAMEDICARE

Other names 1

  • Schreffler Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000032 DC Part B Supplier - Clinic/Group Practice 1153597224 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

1401 N Adams St
Arlington, VA 22201
Phone (703) 465-1213

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1245507086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012680",
            "telephone_number": "703-465-1213",
            "fax_number": "703-465-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012680",
            "telephone_number": "703-465-1213",
            "fax_number": "703-465-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH SCHREFFLER DC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHREFFLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-465-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "208955",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "490123",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schreffler Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.