Active NPI
Vivian K Malnikof, DC
- Chiropractor
- Sterling, VA
National Provider Identifier
1508922998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556374
- Practice address
- 46169 Westlake Dr
Suite 300
Sterling, VA 20165-5875 - Phone
- (703) 421-2990
- Fax
- (703) 421-2822
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- 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 | 0104556374 | VA | Primary |
Addresses
Primary practice location
46169 Westlake Dr
Suite 300
Sterling, VA 20165-5875
Mailing address
46169 Westlake Dr
Ste 300
Sterling, VA 20165-5875
Phone (703) 421-2990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190001295 | Other | VA | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556374 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1508922998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46169 WESTLAKE DR",
"address_2": "STE 300",
"city": "STERLING",
"state": "VA",
"postal_code": "201655875",
"telephone_number": "703-421-2990",
"fax_number": "703-421-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46169 WESTLAKE DR",
"address_2": "SUITE 300",
"city": "STERLING",
"state": "VA",
"postal_code": "201655875",
"telephone_number": "703-421-2990",
"fax_number": "703-421-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALNIKOF",
"first_name": "VIVIAN",
"middle_name": "K",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "190001295",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.