Organization Active NPI

Carrie S. Welch, D. C. , PLLC

  • Chiropractor
  • Reston, VA
National Provider Identifier
1356409478
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555664 Issued in VA
Legal business name
CARRIE S. WELCH, D. C. , PLLC
Practice address
12359 Sunrise Valley Dr
Suite 140
Reston, VA 20191-3462
Phone
(703) 476-8700
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Carrie Welch, D. C.
Title
Owner
Phone
(703) 476-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104555664 VA Primary

Addresses

Primary practice location

12359 Sunrise Valley Dr
Suite 140
Reston, VA 20191-3462

Mailing address

12359 Sunrise Valley Dr
Suite 140
Reston, VA 20191-3462
Phone (703) 476-8700

National Provider Directory

National Provider Directory

Locations

12359 Sunrise Valley Dr
Ste 140
Reston, VA 20191
Phone (703) 349-4737

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1356409478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR",
            "address_2": "SUITE 140",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913462",
            "telephone_number": "703-476-8700",
            "fax_number": "703-476-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR",
            "address_2": "SUITE 140",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913462",
            "telephone_number": "703-476-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE S. WELCH, D. C. , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-476-8700",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.