Active NPI
Marla Robin Gebaide, D.C.
- Chiropractor
- Fairfax, VA
National Provider Identifier
1366685240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556704
- Practice address
- 10301 Democracy LN
Suite 110
Fairfax, VA 22030-2545 - Phone
- (703) 293-2939
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556704 | VA | Primary |
Addresses
Primary practice location
10301 Democracy LN
Suite 110
Fairfax, VA 22030-2545
Mailing address
1645 Dunlawton Ave
Apt 2414
Port Orange, FL 32127-7967
Phone (786) 271-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13880 Braddock Rd
Suite 108
Centreville, VA 20121-2460
Phone (703) 266-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer M. Lee, LTD | Chiropractor | Past | 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.
-
- Chiropractor
- Fairfax, VA
- NPI 1649506619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1366685240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 DUNLAWTON AVE",
"address_2": "APT 2414",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321277967",
"telephone_number": "786-271-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 DEMOCRACY LN",
"address_2": "SUITE 110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302545",
"telephone_number": "703-293-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBAIDE",
"first_name": "MARLA",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.