Organization Active NPI

Plentiful Life Chiropractic Center, LLC

  • Chiropractor
  • Sterling, VA
National Provider Identifier
1255786901
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002042 Issued in VA
Legal business name
PLENTIFUL LIFE CHIROPRACTIC CENTER, LLC
Practice address
101 E Holly Ave
Unit 11
Sterling, VA 20164-5402
Phone
(571) 313-8167
Fax
(571) 267-7916
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Jaime A Chica, D.C.
Title
President
Phone
(703) 379-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104002042 VA Primary

Addresses

Primary practice location

101 E Holly Ave
Unit 11
Sterling, VA 20164-5402

Mailing address

101 E Holly Ave
Unit 11
Sterling, VA 20164-5402
Phone (571) 313-8167

National Provider Directory

National Provider Directory

Locations

101 E Holly Ave
Unit 11
Sterling, VA 20164
Phone (571) 313-8167

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1255786901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E HOLLY AVE",
            "address_2": "UNIT 11",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645402",
            "telephone_number": "571-313-8167",
            "fax_number": "571-267-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E HOLLY AVE",
            "address_2": "UNIT 11",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645402",
            "telephone_number": "571-313-8167",
            "fax_number": "571-267-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENTIFUL LIFE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "CHICA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-379-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.