Old Towne Chiropractic Services LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

014000399 Issued in VA

Legal business name

OLD TOWNE CHIROPRACTIC SERVICES LTD

Doing business as

Old Towne Chiropractic Services

Practice address

1218 King St
Alexandria, VA 22314-2927

Phone

(703) 684-0260

Fax

(703) 684-0262

NPI assigned

Apr 16, 2007

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. K A Deyoung, DCNPI 1225253347

Title

President

Phone

(703) 684-0260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Old Towne Chiropractic Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• K A Deyoung, DC

  • Chiropractor
  • Alexandria, VA
  • NPI 1225253347
  Authorized official Same address or phone

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1407071525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142927",
            "telephone_number": "703-684-0260",
            "fax_number": "703-684-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142927",
            "telephone_number": "703-684-0260",
            "fax_number": "703-684-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWNE CHIROPRACTIC SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-684-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "014000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OR ANTHEM BCBS OF VA",
            "identifier": "237347",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Towne Chiropractic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christa Louise Oliva-Marple, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.