Whole Body Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WHOLE BODY HEALTH LLC

Practice address

8391 Old Courthouse Rd Ste 350
Vienna, VA 22182-3819

Phone

(414) 839-0983

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Gustitus, DCNPI 1962458216

Title

Ceo

Phone

(414) 839-0983

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Gustitus, D.C.

  • Chiropractor
  • Vienna, VA
  • NPI 1962458216

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1285363937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 27TH RD N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071724",
            "telephone_number": "414-839-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 OLD COURTHOUSE RD STE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823819",
            "telephone_number": "414-839-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "GUSTITUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-839-0983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3937-012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie West, PHD, LMFT
• June West
• Leigh Ann Whaley, LPC
• Jenna Whearty
• Richard M Whittington, DDS
• Casimer Richard Wichlacz, MSW
• Tiffany Wicks, LPC
• Shlomo Widder, M.D.
• Tahlie Wiggins
• Kay Wilber, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.