NPIMap

Organization Active NPI

Multi Discipline Alternative Care Center, LTD

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1275729501
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MULTI DISCIPLINE ALTERNATIVE CARE CENTER, LTD
Practice address
8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647
Phone
(703) 698-7117
Fax
(703) 698-5729
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Mr. Russell Thomas Roselle, DCNPI 1427117415
Title
Owner
Phone
(703) 698-7117

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X VA Primary

Addresses

Primary practice location

8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647

Mailing address

8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647
Phone (703) 698-7117

Other names 1

  • Roselle Center for Healing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050715000076 DC Part B Supplier - Clinic/Group Practice 9537195060 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfax, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2069993Roselle Center for Healing8500 Executive Park Avenue #300, Fairfax, VA 22031Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

8500 Executive Park Ave
Ste 300
Fairfax, VA 22031
Phone (703) 698-7117

8550 Arlington Blvd
Ste 325
Fairfax, VA 22031
Phone (703) 698-7117

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1275729501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVENUE",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVENUE",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI DISCIPLINE ALTERNATIVE CARE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ROSELLE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-698-7117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roselle Center for Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.