Virginia Diagnostic and Natural Medicine Clinic, PC.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

0104000700 Issued in VA

Legal business name

VIRGINIA DIAGNOSTIC AND NATURAL MEDICINE CLINIC, PC.

Practice address

2136 Gallows Rd
Suite D
Dunn Loring, VA 22027-1036

Phone

(703) 641-4966

Fax

(703) 560-0345

NPI assigned

Nov 2, 2006

Last updated

Jan 7, 2008By 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. Robert A. Duca Jr., D.C.NPI 1215045067

Title

Director

Phone

(703) 641-4966

Specialties & licenses 3

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.

• Robert A Duca Jr., D.C.

  • Internist Chiropractor
  • Dunn Loring, VA
  • NPI 1215045067
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1467530774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD",
            "address_2": "SUITE D",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271036",
            "telephone_number": "703-641-4966",
            "fax_number": "703-560-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD",
            "address_2": "SUITE D",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271036",
            "telephone_number": "703-641-4966",
            "fax_number": "703-560-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DIAGNOSTIC AND NATURAL MEDICINE CLINIC, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "DUCA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-641-4966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104000700",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "DC",
            "license": "CH30005",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "DC 18784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Dental P.C. (Family Dental Center of Tysons, P.C)
• Samantha Smeltzer, COTA/L
• Justin Dean Stanley, COTA
• Sun O Suk, D.D.S.
• Sun Ok Suk, DDS, PC
• Brad Alan Wolf, DC

• Internist Chiropractor in Dunn Loring, VA
• Providers in Dunn Loring, VA by specialty
• Internist Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.