Prestige Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRESTIGE CHIROPRACTIC, LLC

Practice address

13885 Hedgewood Dr
Suite 333
Woodbridge, VA 22193-7928

Phone

(703) 986-0069

Fax

(703) 986-2525

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lewis Hutchison Pauley, D.C.NPI 1407162068

Title

Doctor of Chiropractic

Phone

(703) 986-0069

Specialties & licenses 1

Addresses

Other names 1

• Prestige Chiropractic Doing business as

Locations

Practitioners 1

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

• Lewis Hutchison Pauley, D.C.

  • Chiropractor
  • Woodbridge, VA
  • NPI 1407162068
  NPD (past) Authorized official

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1275898967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR",
            "address_2": "SUITE 333",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937928",
            "telephone_number": "703-986-0069",
            "fax_number": "703-986-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR",
            "address_2": "SUITE 333",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937928",
            "telephone_number": "703-986-0069",
            "fax_number": "703-986-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "PAULEY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "HUTCHISON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "703-986-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.