Organization Active NPI

Merrifield Chiropractic Center, Inc.

  • Sports Physician Chiropractor
  • Fairfax, VA
National Provider Identifier
1396814901
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
MERRIFIELD CHIROPRACTIC CENTER, INC.
Practice address
2826 Old Lee Hwy
Suite 350
Fairfax, VA 22031-4323
Phone
(202) 309-1653
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Shirine I Hegazi, D.C.NPI 1114031713
Title
President
Phone
(202) 309-1653

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 0104556106 VA
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2826 Old Lee Hwy
Suite 350
Fairfax, VA 22031-4323

Mailing address

2826 Old Lee Hwy
Suite 350
Fairfax, VA 22031-4323
Phone (202) 309-1653

National Provider Directory

National Provider Directory

Locations

2826 Old Lee Hwy
Ste 350
Fairfax, VA 22031
Phone (202) 309-1653

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1396814901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "202-309-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "202-309-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIFIELD CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "HEGAZI",
        "authorized_official_first_name": "SHIRINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-309-1653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104556106",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 12, 2022; 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.