Active NPI
George N Bakalis, D.C.
- Chiropractor
- Woodbridge, VA
National Provider Identifier
1508868225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000545
- Practice address
- 2026B Opitz Blvd
Woodbridge, VA 22191-3306 - Phone
- (703) 491-8888
- Fax
- (703) 491-2244
- NPI assigned
- Aug 12, 2005
- Last updated
- Mar 12, 2008
- 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 | 0104000545 | VA | Primary |
Addresses
Primary practice location
2026B Opitz Blvd
Woodbridge, VA 22191-3306
Mailing address
2026B Opitz Blvd
Woodbridge, VA 22191-3306
Phone (703) 491-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2026 Opitz Blvd B
Woodbridge, VA 22191-3332
Phone (703) 491-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000545 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William Chiropractic Clinic Inc | Current | Accepting new patients |
Locations
2026 Opitz Blvd
Ste B
Woodbridge, VA 22191
Phone (703) 491-8888
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Woodbridge, VA
- NPI 1487944070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1508868225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026B OPITZ BLVD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913306",
"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": "2026B OPITZ BLVD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913306",
"telephone_number": "703-491-8888",
"fax_number": "703-491-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKALIS",
"first_name": "GEORGE",
"middle_name": "N",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.