Individual provider Active NPI

Ricardo Alejandro Rodriguez-Vazquez, DC

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1255955928
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557630 Issued in VA
Practice address
7686 Richmond Hwy Ste 115
Alexandria, VA 22306-2800
Phone
(571) 255-8333
Fax
(571) 255-8333
NPI assigned
May 29, 2020
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557630 VA Primary

Addresses

Primary practice location

7686 Richmond Hwy Ste 115
Alexandria, VA 22306-2800

Mailing address

7686 Richmond Hwy Ste 115
Alexandria, VA 22306-2800
Phone (571) 255-8333

Other identifiers 1

IdentifierTypeStateIssuer
0104557630OtherVADC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drricardorodriguezdc@outlook.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610002716 DC Practitioner - Chiropractic 3072935527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7686 Richmond Hwy
Suite 115
Alexandria, VA 22306-2800
Phone (571) 255-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1255955928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7686 RICHMOND HWY STE 115",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062800",
            "telephone_number": "571-255-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 RICHMOND HWY STE 115",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062800",
            "telephone_number": "571-255-8333",
            "fax_number": "571-255-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-VAZQUEZ",
        "first_name": "RICARDO ALEJANDRO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "0104557630",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drricardorodriguezdc@outlook.com",
            "affiliation": "N",
            "address_1": "7686 Richmond Hwy Ste 115",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223062800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.