NPIMap

Organization Active NPI

Ma Chiropractic & Rehab

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1548651631
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556728 Issued in VA
Legal business name
MA CHIROPRACTIC & REHAB
Practice address
3609 Chain Bridge Suite E
Fairfax, VA 22030
Phone
(703) 409-0304
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Khanh Ma, D.CNPI 1831424753
Title
Ceo
Phone
(703) 409-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556728 VA Primary

Addresses

Primary practice location

3609 Chain Bridge Suite E
Fairfax, VA 22030

Mailing address

3609 Chain Bridge Suite E
Fairfax, VA 22030
Phone (703) 409-0304

National Provider Directory

National Provider Directory

Locations

3609 Chain Bridge Rd
Ste E
Fairfax, VA 22030
Phone (570) 480-8480

Practitioners & 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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1548651631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 CHAIN BRIDGE SUITE E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-409-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 CHAIN BRIDGE SUITE E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-409-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-409-0304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.