Active NPI
Silvaray Windityas Rumedi, DC
- Chiropractor
- Ashburn, VA
National Provider Identifier
1477154334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557670
- Practice address
- 44330 Premier PLZ
Ashburn, VA 20147-5070 - Phone
- (240) 272-2702
- NPI assigned
- Nov 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557670 | VA | Primary |
Addresses
Primary practice location
44330 Premier PLZ
Ashburn, VA 20147-5070
Mailing address
44330 Premier PLZ
Ashburn, VA 20147-5070
Phone (240) 272-2702
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@soundchiropractic.co | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557670 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Wellness LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1477154334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44330 PREMIER PLZ",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475070",
"telephone_number": "240-272-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44330 PREMIER PLZ",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475070",
"telephone_number": "240-272-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMEDI",
"first_name": "SILVARAY",
"middle_name": "WINDITYAS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557670",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@soundchiropractic.co",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44330 Premier Plz",
"city": "Ashburn",
"state": "VA",
"country_code": "US",
"postal_code": "201475070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.