Coyote Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556249 Issued in VA

Legal business name

COYOTE CHIROPRACTIC PLLC

Practice address

320 Maple Ave E
Suite C
Vienna, VA 22180-4716

Phone

(703) 242-3533

Fax

(703) 242-3541

NPI assigned

Aug 31, 2006

Last updated

Apr 20, 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

Randall E Wiley, DCNPI 1013029735

Title

President Owner

Phone

(703) 242-3533

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.

• Randall E Wiley, DC, MSN, ARNP

  • Family Nurse Practitioner
  • Leonardtown, MD
  • NPI 1013029735

  Chiropractor

  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1467564187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAPLE AVE E",
            "address_2": "SUITE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804716",
            "telephone_number": "703-242-3533",
            "fax_number": "703-242-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAPLE AVE E",
            "address_2": "SUITE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804716",
            "telephone_number": "703-242-3533",
            "fax_number": "703-242-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYOTE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT   OWNER",
        "authorized_official_telephone_number": "703-242-3533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Anthony Covel, DDS
• Covel,Stack and Henon, DDS,PC
• Julie L Cox, PHD
• Melaney Cox
• Amy Klass Coyle, LCSW
• Dominique M Cranfield, RBT
• Chelsea Crawford, MSW
• Elizabeth Jay Crawford, OTR/L
• Heidi Crayton, MD
• Margaret Crenshaw, MD

• Chiropractor in Vienna, VA
• Providers in Vienna, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.