Fox Evergreen, DC
Individual provider Active NPI Chiropractor · Aldie, VA
NPI 1538046388 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1538046388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104558113 (VA)
- Practice address
- 24351 Arcola Mills Dr
Aldie, VA 20105-2065 - Phone
- (562) 269-8316
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Rxwellness Spine and Health - Ashburn LLC
Practice addresses (Care Compare)
43780 Central Station Dr
Suite 100
Ashburn, VA 20147-7206
Phone (703) 904-9666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022000190 | VA | Practitioner - Chiropractic | 0042708018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104558113 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwellness Spine & Health - Ashburn LLC | Chiropractor | Current |
Accepting new patients |
Locations
43780 Central Station Dr
Ste 100
Ashburn, VA 20147
950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104558113 | VA | Yes |
Addresses
Primary practice location
24351 Arcola Mills Dr
Aldie, VA 20105-2065
Mailing address
24351 Arcola Mills Dr
Aldie, VA 20105-2065
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.