Prince William Chiropractic Clinic Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0104000545 Issued in VA

Legal business name

PRINCE WILLIAM CHIROPRACTIC CLINIC INC

Practice address

2026 Opitz Blvd Ste B
Woodbridge, VA 22191-3332

Phone

(703) 491-8888

Fax

(703) 491-2244

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Janet M Petitto

Title

Manager

Phone

(703) 491-2400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George N Bakalis, D.C.

  • Chiropractor
  • Woodbridge, VA
  • NPI 1508868225
  Medicare reassignment NPD
• Elliott Torrain Armstrong, DC

  • Chiropractor
  • Woodbridge, VA
  • NPI 1699789149
  NPD (past)

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1487944070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 OPITZ BLVD STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913332",
            "telephone_number": "703-491-8888",
            "fax_number": "703-491-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OPITZ BLVD STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913332",
            "telephone_number": "703-491-8888",
            "fax_number": "703-491-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE WILLIAM CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "PETITTO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-491-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0104000545",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Associates of Potomac PC
• Prime Care Sleep Center
• Prime Wellness Clinic LLC
• Primmeux RX LLC
• Prince William Area Agency on Aging
• Prince William Health District Dental
• Prince William Neurology Center Inc
• Prince William Parkway Dental PC
• Prince William Pediatrics and Adolescent Center
• Prince William Plastic Surgery and Spa Services Company, LLC

• Medical Specialty Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.