Annandale Spine Physicians, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001888 Issued in VA

Legal business name

ANNANDALE SPINE PHYSICIANS, INC.

Practice address

7004 Little River Tpke
Suite H
Annandale, VA 22003-3201

Phone

(703) 658-9010

Fax

(703) 658-9070

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Kang, D.C.NPI 1043363849

Title

Director

Phone

(703) 658-9010

Specialties & licenses 1

Addresses

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.

• Jonathan Dongho Kang, D.C.

  • Chiropractor
  • Annandale, VA
  • NPI 1043363849
  NPD (past) Authorized official

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1588033823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE",
            "address_2": "SUITE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201",
            "telephone_number": "703-658-9010",
            "fax_number": "703-658-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE",
            "address_2": "SUITE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201",
            "telephone_number": "703-658-9010",
            "fax_number": "703-658-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNANDALE SPINE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-658-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annandale Family Medicine, P.C.
• Annandale Gerontology Clinic
• Annandale OB GYN
• Annandale Pediatric Assoc Inc
• Annandale SNF LLC (Annandale Rehabilitation and Wellness Center)
• Annandale VA Opco LLC
• Annapath of Virginia Inc.
• Aom Clinic LLC
• Apheresis Associates of Northern Virginia, LLC
• Arden Courts of Annandale VA, LLC

• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.