Organization Active NPI

Warrenton Chiropractic Center, LLC

  • Chiropractor
  • Warrenton, VA
National Provider Identifier
1346549532
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000765 Issued in VA
Legal business name
WARRENTON CHIROPRACTIC CENTER, LLC
Practice address
10 Rock Pointe LN
Suite 6
Warrenton, VA 20186-2672
Phone
(540) 349-7744
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Robert William Breen, DCNPI 1609977982
Title
Owner
Phone
(540) 349-7744

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 0104000765 VA Primary

Addresses

Primary practice location

10 Rock Pointe LN
Suite 6
Warrenton, VA 20186-2672

Mailing address

12613 Victory Lakes Loop
Bristow, VA 20136-1274
Phone (703) 368-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110603000384 VA Part B Supplier - Clinic/Group Practice 9234316043 Receives reassigned benefits from 1 practitioner
Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Locations

400 Holiday Ct
Ste 206
Warrenton, VA 20186
Phone (540) 349-7744

10 Rock Pointe Ln
Ste 6
Warrenton, VA 20186
Phone (540) 349-7744

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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1346549532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 VICTORY LAKES LOOP",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361274",
            "telephone_number": "703-368-4040",
            "fax_number": "703-361-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROCK POINTE LN",
            "address_2": "SUITE 6",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862672",
            "telephone_number": "540-349-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-349-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.