Organization Active NPI

National Physician Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chantilly, VA
National Provider Identifier
1265550792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9105832 Issued in VA
Legal business name
NATIONAL PHYSICIAN CARE, INC.
Practice address
3347 Brookfield Corproate Dr.
203
Chantilly, VA 20151
Phone
(703) 961-0733
Fax
(703) 961-0732
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard L. Miles
Title
President
Phone
(770) 321-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9105832 VA Primary

Addresses

Primary practice location

3347 Brookfield Corproate Dr.
203
Chantilly, VA 20151

Mailing address

PO Box 70962
Marietta, GA 30007-0962
Phone (770) 321-1772

Other identifiers 1

IdentifierTypeStateIssuer
9105832MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
National Physician Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265550792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70962",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300070962",
            "telephone_number": "770-321-1772",
            "fax_number": "770-321-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 BROOKFIELD CORPROATE DR.",
            "address_2": "203",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "703-961-0733",
            "fax_number": "703-961-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PHYSICIAN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-321-1772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "9105832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9105832",
            "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 Aug 22, 2020; 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.