Individual provider Active NPI

Michael Armellino, DC

  • Chiropractor
  • Falls Church, VA
National Provider Identifier
1427438407
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557254 Issued in VA
Practice address
803 W Broad St Ste 240a
Falls Church, VA 22046-3108
Phone
(703) 606-2013
Fax
(703) 237-2839
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557254 VA Primary

Addresses

Primary practice location

803 W Broad St Ste 240a
Falls Church, VA 22046-3108

Mailing address

5811 Hampton Forest Way
Fairfax, VA 22030-7254
Phone (410) 739-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222002166 DC Practitioner - Chiropractic 6103106216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

803 W Broad St
Suite 240a
Falls Church, VA 22046-3108
Phone (703) 606-2013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Spine & Rehab Center Inc. Chiropractor CurrentSince May 17, 2017 Accepting new patients
Fredericksburg DME Chiropractor PastSince Oct 17, 2016 Accepting new patients

Locations

803 W Broad St
Ste 240A
Falls Church, VA 22046
Phone (703) 606-2013

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1427438407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 HAMPTON FOREST WAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307254",
            "telephone_number": "410-739-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BROAD ST STE 240A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463108",
            "telephone_number": "703-606-2013",
            "fax_number": "703-237-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMELLINO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.