Omnispine Chiropractic & Rehab Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557024 Issued in VA

Legal business name

OMNISPINE CHIROPRACTIC & REHAB CLINIC PC

Practice address

3930 Walnut St
Suite 220
Fairfax, VA 22030-4738

Phone

(703) 865-5899

Fax

(703) 865-6199

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Chang Ha Lee, D.C.

Title

President

Phone

(703) 865-5899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1518409804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-865-5899",
            "fax_number": "703-865-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-865-5899",
            "fax_number": "703-865-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNISPINE CHIROPRACTIC & REHAB CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANG HA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-865-5899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fola Oluwehinmi, MD
• Danielle Omar, RD
• Suhaila Omar
• Murad M Omery, M.D.
• Omni Wellness & Performance
• Ori Onazi
• Elena Marie Ondek
• One Spot Care Provider
• Adam Oneill, PA-C
• Laura Oneill, LPC

• 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 Nov 17, 2016; 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.