Organization Active NPI

Howard Chiropractic Clinic

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1457705576
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557054 Issued in VA
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

Updated by the provider on Jun 27, 2016

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.NPI 1073952388
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20160714000104 DC Part B Supplier - Clinic/Group Practice 3375833742 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.