NPIMap

Organization Active NPI

Dr Sarah H Peterson DC PLC

  • Chiropractor
  • Alex, VA
National Provider Identifier
1568682128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001683 Issued in VA
Legal business name
DR SARAH H PETERSON DC PLC
Practice address
5249 Duke St
#205
Alex, VA 22304
Phone
(703) 370-5300
Fax
(703) 367-7878
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarah Hatam Peterson, DC
Title
Chiropractor Owner
Phone
(703) 370-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001683 VA Primary

Addresses

Primary practice location

5249 Duke St
#205
Alex, VA 22304

Mailing address

5249 Duke St
#205
Alex, VA 22304
Phone (703) 370-5300

Other names 1

  • Landmark Chiropractic & PT Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

5249 Duke St
Ste 205
Alexandria, VA 22304
Phone (703) 370-5300

Practitioners & affiliated clinicians

Practitioners 3

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568682128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "#205",
            "city": "ALEX",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-370-5300",
            "fax_number": "703-367-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "#205",
            "city": "ALEX",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-370-5300",
            "fax_number": "703-367-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SARAH H PETERSON DC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "HATAM",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "703-370-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Chiropractic & PT Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alex, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.