Virginia Sports Chiropractic of Fairfax, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

104556132 Issued in VA

Legal business name

VIRGINIA SPORTS CHIROPRACTIC OF FAIRFAX, PC

Practice address

4211 Fairfax Corner Ave E Ste 200
Fairfax, VA 22030-8630

Phone

(703) 222-6211

Fax

(703) 738-7499

NPI assigned

Sep 16, 2013

Last updated

Sep 24, 2013By 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

Holly Daneen Moriarty, DC DACBSP

Title

Owner

Phone

(703) 675-7179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1497181077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER AVE E STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308630",
            "telephone_number": "703-222-6211",
            "fax_number": "703-738-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER AVE E STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308630",
            "telephone_number": "703-222-6211",
            "fax_number": "703-738-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SPORTS CHIROPRACTIC OF FAIRFAX, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "DANEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-675-7179",
        "authorized_official_credential": "DC DACBSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "104556132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Pediatric Group
• Virginia Pediatric Group, LTD
• Virginia Psychological Solutions PLLC
• Virginia Senior Care LLC
• Virginia Sports and Spine
• Virginia Sports Medicine Doctors
• Virginia Surgery Associates, P.C.
• Virginia University of Integrative Medicine
• Virginia University of Oriental Medicine
• Virginia University of Oriental Medicine

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.