Organization Active NPI

Dream Chiropractic & Wellness Boutique

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1316540669
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DREAM CHIROPRACTIC & WELLNESS BOUTIQUE
Practice address
2121 Eisenhower Ave Ste 210
Alexandria, VA 22314-4688
Phone
(703) 518-7936
Fax
(703) 684-3620
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Dr. Betel Aklilu, DC, MSACN
Title
Chiropractor/Owner
Phone
(703) 518-7936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2121 Eisenhower Ave Ste 210
Alexandria, VA 22314-4688

Mailing address

2121 Eisenhower Ave Ste 210
Alexandria, VA 22314-4688
Phone (703) 518-7936

Other names 1

  • Kelayi Chiropractic & Wellness Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

2121 Eisenhower Ave
Ste 210
Alexandria, VA 22314
Phone (703) 518-7936

105 Oronoco St
Ste 115117
Alexandria, VA 22314
Phone (703) 518-7936

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1316540669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "703-518-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "703-518-7936",
            "fax_number": "703-684-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CHIROPRACTIC & WELLNESS BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "AKLILU",
        "authorized_official_first_name": "BETEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "703-518-7936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MSACN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelayi Chiropractic & Wellness Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.