Active NPI
Howard Chiropractic Clinic
- Chiropractor
- Vienna, VA
National Provider Identifier
1457705576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557054
- Legal business name
- HOWARD CHIROPRACTIC CLINIC
- Practice address
- 1980 Gallows Rd
Suite 205
Vienna, VA 22182-3913 - Phone
- (703) 442-0800
- Fax
- (703) 442-0808
- NPI assigned
- Apr 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Hannah-Queen Howard, D.C.
- Title
- Owner/ Chiropractor
- Phone
- (703) 442-0800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557054 | VA | Primary |
Addresses
Primary practice location
1980 Gallows Rd
Suite 205
Vienna, VA 22182-3913
Mailing address
1980 Gallows Rd
Suite 205
Vienna, VA 22182-3913
Phone (703) 442-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2110 Gallows Rd
Ste A1
Vienna, VA 22182
Phone (703) 442-0800
1980 Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 442-0800
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": "1460592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1457705576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"address_2": "SUITE 205",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913",
"telephone_number": "703-442-0800",
"fax_number": "703-442-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"address_2": "SUITE 205",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913",
"telephone_number": "703-442-0800",
"fax_number": "703-442-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-14",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "HANNAH-QUEEN",
"authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
"authorized_official_telephone_number": "703-442-0800",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.