Organization Active NPI

Kline Chiropractic & Wellness, PLLC

  • Chiropractor
  • Woodbridge, VA
National Provider Identifier
1457516718
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556219 Issued in VA
Legal business name
KLINE CHIROPRACTIC & WELLNESS, PLLC
Practice address
4004 Genesee PL
Suite 213
Woodbridge, VA 22192-8303
Phone
(703) 680-4344
Fax
(703) 680-0440
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Erin Wells Kline, D.C.NPI 1811001910
Title
President
Phone
(703) 680-4344

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 0104556219 VA Primary

Addresses

Primary practice location

4004 Genesee PL
Suite 213
Woodbridge, VA 22192-8303

Mailing address

4004 Genesee PL
Suite 213
Woodbridge, VA 22192-8303
Phone (703) 680-4344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000603 VA Part B Supplier - Clinic/Group Practice 3476621202 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

4004 Genesee Pl
Ste 213
Woodbridge, VA 22192
Phone (703) 680-4344

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": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1457516718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "SUITE 213",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "703-680-4344",
            "fax_number": "703-680-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "SUITE 213",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "703-680-4344",
            "fax_number": "703-680-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINE CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-680-4344",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.