Organization Active NPI

Gentle Touch Chiropractic LLC

  • Chiropractor
  • McLean, VA
National Provider Identifier
1396789608
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556380 Issued in VA
Legal business name
GENTLE TOUCH CHIROPRACTIC LLC
Practice address
1300 Vincent Place
McLean, VA 22101
Phone
(703) 760-4646
Fax
(703) 760-4644
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Daniel P. Hockstra, D.C.NPI 1912996554
Title
Owner
Phone
(703) 760-4646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556380 VA Primary

Addresses

Primary practice location

1300 Vincent Place
McLean, VA 22101

Mailing address

1300 Vincent Place
McLean, VA 22101
Phone (703) 760-4646

Other identifiers 1

IdentifierTypeStateIssuer
182270OtherVABCBS ANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070302000171 DC Part B Supplier - Clinic/Group Practice 0446352850 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA
O20250908001206 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446352850 Receives reassigned benefits from 1 practitioner
Practice locations: Middleburg, VA

National Provider Directory

National Provider Directory

Locations

1300 Vincent Pl
McLean, VA 22101
Phone (412) 721-1260

8230 Boone Blvd
Ste 445
Vienna, VA 22182
Phone (703) 760-4646

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1396789608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 VINCENT PLACE",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-760-4646",
            "fax_number": "703-760-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 VINCENT PLACE",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-760-4646",
            "fax_number": "703-760-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOUCH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "HOCKSTRA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-760-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "182270",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.