Individual provider Active NPI

Matthew Kairys, D.C.

  • Chiropractor
  • Ashburn, VA
National Provider Identifier
1477917540
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557329 Issued in VA
Practice address
44330 Premier PLZ
Suite #110a
Ashburn, VA 20147-5070
Phone
(703) 723-9355
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557329 VA Primary

Addresses

Primary practice location

44330 Premier PLZ
Suite #110a
Ashburn, VA 20147-5070

Mailing address

44330 Premier PLZ
Suite #110a
Ashburn, VA 20147-5070
Phone (703) 723-9355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557329VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Wellness LLC Chiropractor PastSince Nov 28, 2010 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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1477917540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44330 PREMIER PLZ",
            "address_2": "SUITE #110A",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475070",
            "telephone_number": "703-723-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44330 PREMIER PLZ",
            "address_2": "SUITE #110A",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475070",
            "telephone_number": "703-723-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRYS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 5, 2016; 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.