Organization Active NPI

Rosa Family Chiropractic of Alexandria, LLC

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1336463231
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555696 Issued in VA
Legal business name
ROSA FAMILY CHIROPRACTIC OF ALEXANDRIA, LLC
Practice address
5249 Duke St
Suite 100
Alexandria, VA 22304-2926
Phone
(703) 750-1177
Fax
(703) 658-2656
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Rick Rosa, D.C.NPI 1366507493
Title
Chiropractor
Phone
(703) 750-1177

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 0104555696 VA Primary

Addresses

Primary practice location

5249 Duke St
Suite 100
Alexandria, VA 22304-2926

Mailing address

5249 Duke St
Suite 100
Alexandria, VA 22304-2926
Phone (703) 750-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130430000103 DC Part B Supplier - Clinic/Group Practice 1052557543 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

4875 Eisenhower Ave
Ste 215
Alexandria, VA 22304
Phone (703) 750-1177

Practitioners & affiliated clinicians

Practitioners 2

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": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1336463231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-750-1177",
            "fax_number": "703-658-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-750-1177",
            "fax_number": "703-658-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA FAMILY CHIROPRACTIC OF ALEXANDRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-750-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2010; 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.