Active NPI
Chiropractic Care and Rehab of Northern Virginia
- Chiropractor
- Springfield, VA
National Provider Identifier
1508122862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556224
- Legal business name
- CHIROPRACTIC CARE AND REHAB OF NORTHERN VIRGINIA
- Practice address
- 8136 Old Keene Mill Road
A-314
Springfield, VA 22152 - Phone
- (703) 644-9311
- Fax
- (703) 644-3907
- NPI assigned
- Apr 11, 2012
- Last updated
- Aug 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Victor Boyer, D.C.
- Title
- Manager
- Phone
- (703) 644-9311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556224 | VA | Primary |
Addresses
Primary practice location
8136 Old Keene Mill Road
A-314
Springfield, VA 22152
Mailing address
8136 Old Keene Mill Road
A-314
Springfield, VA 22152
Phone (703) 644-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1508122862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8136 OLD KEENE MILL ROAD",
"address_2": "A-314",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22152",
"telephone_number": "703-644-9311",
"fax_number": "703-644-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8136 OLD KEENE MILL ROAD",
"address_2": "A-314",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22152",
"telephone_number": "703-644-9311",
"fax_number": "703-644-3907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC CARE AND REHAB OF NORTHERN VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "703-644-9311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
- Chesapeake Childrens Therapy Center
- Chesapeake Health Services, LLC (Chesapeake Children's Therapy Center)
- Mei-Cheng Tammy Cheu, RN, CNS, GNP
- Children's Speech and Language Services of Springfield, LLC
- Maxwell Chin
- Rosan Y Choi, MD
- Ryan Junho Choi, PHARMD
- Sungmin Choi, DDS
- Gabriela Chopin
- Tory Christensen, MSW, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.