Organization Active NPI

Riverside Chiropractic LLC

  • Rehabilitation Chiropractor
  • Alexandria, VA
National Provider Identifier
1336510395
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104001959 Issued in VA
Legal business name
RIVERSIDE CHIROPRACTIC LLC
Practice address
205A the Strand
Alexandria, VA 22314-3367
Phone
(703) 739-0500
Fax
(866) 545-1147
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Dr. Waleed Mahmoud Abul-Hawa, D.C.NPI 1386711869
Title
Practice Owner
Phone
(703) 739-0500

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 0104001959 VA Primary

Addresses

Primary practice location

205A the Strand
Alexandria, VA 22314-3367

Mailing address

205A the Strand
Alexandria, VA 22314-3367
Phone (703) 739-0500

National Provider Directory

National Provider Directory

Locations

205A The Strand
Alexandria, VA 22314
Phone (703) 739-0500

Practitioners & affiliated clinicians

Practitioners 1

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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1336510395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A THE STRAND",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143367",
            "telephone_number": "703-739-0500",
            "fax_number": "866-545-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A THE STRAND",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143367",
            "telephone_number": "703-739-0500",
            "fax_number": "866-545-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "ABUL-HAWA",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "703-739-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104001959",
            "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 Oct 15, 2015; 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.