Eastern Roots Wellness, PL C

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EASTERN ROOTS WELLNESS, PL C

Practice address

1497 Chain Bridge Rd Ste 101
MC Lean, VA 22101-5728

Phone

(571) 354-6643

NPI assigned

Dec 16, 2018

Last updated

Nov 10, 2021By 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. Sarah Dawn Faggert, DAC, LACNPI 1093292153

Title

Doctor of Acupuncture

Phone

(713) 354-6643

Specialties & licenses 1

Addresses

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.

• Sarah Dawn Faggert, DAC, LAC

  • Acupuncturist
  • McLean, VA
  • NPI 1093292153
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1437620614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 BYRD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305331",
            "telephone_number": "804-955-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "571-354-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ROOTS WELLNESS, PL C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "FAGGERT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DOCTOR OF ACUPUNCTURE",
        "authorized_official_telephone_number": "713-354-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendilynn Thu Duong, RDH,BS
• Lynn Durbin, ATC
• Kaysee Dwyer, PHARMD
• E&T Executive LLC
• Brandon Eason
• Angeline Virginia Eaton, BCBA, M. ED.
• Jordan Eaton, SLP
• Jessica Echeverry, LPC
• Edmonds Optician of McLean Inc.
• Ednan Mushtaq MD PC

• Acupuncturist in McLean, VA
• Providers in McLean, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.