Douglas Lee Obetz, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104000980 Issued in VA

Practice address

15100 Washington St
Suite 104
Haymarket, VA 20169-4918

Phone

(703) 753-0122

Fax

(703) 753-0171

NPI assigned

Jul 13, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Chiropractic and Sports Injury Center P C

  • Sports Physician Chiropractor
  • Haymarket, VA
  • NPI 1891998142
  Authorized official Same address or phone
• Virginia Family Chiropractic Health Center, P.C.

  • Chiropractor
  • Woodbridge, VA
  • NPI 1376568295
  NPD (past)
• Advanced Rehab and Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1841636057
  NPD (past)
• Back Pain Relief Clinic, Inc

  • Chiropractor
  • Dresden, TN
  • NPI 1467745034
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1326063116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694918",
            "telephone_number": "703-753-0122",
            "fax_number": "703-753-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694918",
            "telephone_number": "703-753-0122",
            "fax_number": "703-753-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBETZ",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104000980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Transitional Care)
• Eric C. Noh, DO
• Joan M Normandy-Dolberg, LPC, MS, MED
• Novant Medical Group Inc (Novant Health Inpatient Care Specialists Haymarket)
• Tracy Lynn O'Donnell
• Enoch Okine
• Regina Okine
• Old Dominion Orthopaedic and Sports Medicine PC (Northern Virginia Orthopaedic Specialists)
• David Jose Olvera, MBA,MS,NRP,FP-C,CMTE
• Orthovirginia, Inc

• Sports Physician Chiropractor in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.