Active NPI
Pepperwolf Spinal Care Institute LLC
- Chiropractor
- Dunn Loring, VA
National Provider Identifier
1346297116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1747
- Legal business name
- PEPPERWOLF SPINAL CARE INSTITUTE LLC
- Practice address
- 2136 Gallows Road
Suite a
Dunn Loring, VA 22027-1036 - Phone
- (703) 204-2320
- Fax
- (703) 204-1618
- NPI assigned
- May 27, 2006
- Last updated
- Mar 15, 2011
- Organization subpart
- Yes
- Parent organization
- PEPPERWOLF SPINAL CARE INSTITUTE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad A Wolf, D.C.
- Title
- President
- Phone
- (703) 204-2320
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1747 | VA | Primary |
Addresses
Primary practice location
2136 Gallows Road
Suite a
Dunn Loring, VA 22027-1036
Mailing address
2136 Gallows Road
Suite a
Dunn Loring, VA 22027-1036
Phone (703) 204-2320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256800 | Other | VA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Part of
- Pepper Wolf Chiropracti
Locations
5410 Edson Ln
Ste 210A
Rockville, MD 20852
Phone (301) 828-8802
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Dunn Loring, VA
- NPI 1972621696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1346297116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 GALLOWS ROAD",
"address_2": "SUITE A",
"city": "DUNN LORING",
"state": "VA",
"postal_code": "220271036",
"telephone_number": "703-204-2320",
"fax_number": "703-204-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 GALLOWS ROAD",
"address_2": "SUITE A",
"city": "DUNN LORING",
"state": "VA",
"postal_code": "220271036",
"telephone_number": "703-204-2320",
"fax_number": "703-204-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEPPERWOLF SPINAL CARE INSTITUTE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEPPERWOLF SPINAL CARE INSTITUTE LLC",
"enumeration_date": "2006-05-27",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-204-2320",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "1747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "256800",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunn Loring, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.