Organization Active NPI

Chiropractic & Family Wellness PC

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1316115652
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555793 Issued in VA
Legal business name
CHIROPRACTIC & FAMILY WELLNESS PC
Practice address
13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216
Phone
(804) 594-1998
Fax
(804) 594-3804
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Tarek Sayed Elganainy, D.C.NPI 1962559534
Title
President
Phone
(804) 594-1998

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104555793 VA Primary

Addresses

Primary practice location

13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216

Mailing address

13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216
Phone (804) 594-1998

Other identifiers 2

IdentifierTypeStateIssuer
278096OtherVASOUTHERN HEALTH
7462290OtherVAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000039 VA Part B Supplier - Clinic/Group Practice 3274607783 Receives reassigned benefits from 3 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

13924 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 594-1998

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1316115652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13924 COALFIELD COMMONS PL",
            "address_2": "STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-594-1998",
            "fax_number": "804-594-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13924 COALFIELD COMMONS PL",
            "address_2": "STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-594-1998",
            "fax_number": "804-594-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & FAMILY WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "ELGANAINY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "SAYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-594-1998",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "278096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7462290",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.