Virginia Family Chiropractic Health Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1510 Issued in VA

Legal business name

VIRGINIA FAMILY CHIROPRACTIC HEALTH CENTER, P.C.

Practice address

12546 Dillingham Square
102
Woodbridge, VA 22192-5259

Phone

(703) 730-1600

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fermin Alberto De la Jara, D.C.NPI 1386627032

Title

Owner

Phone

(703) 730-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fermin Alberto De la Jara, D.C.

  • Sports Physician Chiropractor
  • Woodbridge, VA
  • NPI 1386627032
  Medicare reassignment NPD Authorized official
• Douglas Lee Obetz, D.C.

  • Sports Physician Chiropractor
  • Haymarket, VA
  • NPI 1326063116
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376568295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12546 DILLINGHAM SQUARE",
            "address_2": "102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925259",
            "telephone_number": "703-730-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12546 DILLINGHAM SQUARE",
            "address_2": "102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925259",
            "telephone_number": "703-730-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA FAMILY CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA JARA",
        "authorized_official_first_name": "FERMIN",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-730-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.