Individual provider Active NPI

Howard Richard Van Nostrand, D.C., B.S., B.A.

  • Sports Physician Chiropractor
  • Bristow, VA
National Provider Identifier
1366540676
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001138 Issued in VA
Practice address
10402 Bristow Center Dr
Bristow, VA 20136-2202
Phone
(703) 686-4010
Fax
(703) 686-4011
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104001138 VA Primary

Addresses

Primary practice location

10402 Bristow Center Dr
Bristow, VA 20136-2202

Mailing address

10402 Bristow Center Dr
Bristow, VA 20136-2202
Phone (703) 686-4010

Other identifiers 1

IdentifierTypeStateIssuer
000300748MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Bachelor of Arts, Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
East of 75 Chiropractic and Medical Care PastSince Jan 30, 2019 Accepting new patients
Bristow Physical Therapy & Chiropractic, LLC PastSince Jun 23, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1366540676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 BRISTOW CENTER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362202",
            "telephone_number": "703-686-4010",
            "fax_number": "703-686-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 BRISTOW CENTER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362202",
            "telephone_number": "703-686-4010",
            "fax_number": "703-686-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NOSTRAND",
        "first_name": "HOWARD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S., B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000300748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.