Active NPI
Peter Rohan, DC
- Chiropractor
- Centreville, VA
National Provider Identifier
1548860778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557696
- Practice address
- 14215E Centreville SQ
Centreville, VA 20121-2301 - Phone
- (703) 222-3737
- Fax
- (703) 421-2822
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 123456 | VA | |
| Chiropractor | 111N00000X | 0104-557696 | VA | Primary |
Addresses
Primary practice location
14215E Centreville SQ
Centreville, VA 20121-2301
Mailing address
6000 Palisades Cir Apt 6404
Manassas Park, VA 20111-8076
Phone (703) 626-1239
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104-557696 | VA | MD | Chiropractor |
| 123456 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot and Leg Center PA | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1457222440
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1548860778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 PALISADES CIR APT 6404",
"city": "MANASSAS PARK",
"state": "VA",
"postal_code": "201118076",
"telephone_number": "703-626-1239",
"fax_number": "703-421-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14215E CENTREVILLE SQ",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212301",
"telephone_number": "703-222-3737",
"fax_number": "703-421-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHAN",
"first_name": "PETER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "123456",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.