Organization Active NPI

Ronald C Wichin DC PC

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1467691048
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000656 Issued in VA
Legal business name
RONALD C WICHIN DC PC
Practice address
104 Elden St Ste 14
Herndon, VA 20170-4825
Phone
(703) 834-1910
Fax
(703) 834-2609
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Ronald C Wichin, DC
Title
President
Phone
(703) 834-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000656 VA Primary

Addresses

Primary practice location

104 Elden St Ste 14
Herndon, VA 20170-4825

Mailing address

104 Elden St Ste 14
Herndon, VA 20170-4825
Phone (703) 834-1910

National Provider Directory

National Provider Directory

Locations

104 Elden St
Ste 14
Herndon, VA 20170
Phone (703) 834-1910

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1467691048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ELDEN ST STE 14",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704825",
            "telephone_number": "703-834-1910",
            "fax_number": "703-834-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ELDEN ST STE 14",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704825",
            "telephone_number": "703-834-1910",
            "fax_number": "703-834-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C WICHIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WICHIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-834-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.