Fermin Alberto De la Jara, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104001510 Issued in VA

Practice address

12546 Dillingham SQ
Woodbridge, VA 22192-5259

Phone

(703) 730-6898

Fax

(703) 590-1260

NPI assigned

Nov 28, 2005

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Virginia Family Chiropractic Health Center, P.C.

  • Chiropractor
  • Woodbridge, VA
  • NPI 1376568295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1386627032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 CONDOR LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921061",
            "telephone_number": "703-491-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12546 DILLINGHAM SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925259",
            "telephone_number": "703-730-6898",
            "fax_number": "703-590-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA JARA",
        "first_name": "FERMIN",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasin Dawlatzai
• Shannon M Dawson-Richardson, MD
• Amber N Day, CRNA
• Daystar Non-Emergency Services LLC
• Zaida I Dayton, PHD, LPC
• Stephane Fernanda De Matos Silva
• Henry Dean
• Victoria Elizabeth Dean, PA-C
• Kelsey Lynne Debrow, FNP-C
• Makiko Debus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.

Verify at the official NPI Registry.