Individual provider Active NPI

Nick Triandos, D.C.

  • Sports Physician Chiropractor
  • Alexandria, VA
National Provider Identifier
1598770208
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001977 Issued in VA
Practice address
300 N Washington St
# 710
Alexandria, VA 22314-2530
Phone
(703) 548-5600
Fax
(703) 548-6484
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 02006 MD
Sports Physician Chiropractor 111NS0005X 0104001977 VA Primary

Addresses

Primary practice location

300 N Washington St
# 710
Alexandria, VA 22314-2530

Mailing address

300 N Washington St
# 710
Alexandria, VA 22314-2530
Phone (703) 548-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001577 DC Practitioner - Chiropractic 1456528322 Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02006MDMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Triandos Chiropractic 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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1598770208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST",
            "address_2": "# 710",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142530",
            "telephone_number": "703-548-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST",
            "address_2": "# 710",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142530",
            "telephone_number": "703-548-5600",
            "fax_number": "703-548-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANDOS",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "02006",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.