Individual provider Active NPI

Peter Gilson Hilgartner, D.C.

  • Nutrition Chiropractor
  • Leesburg, VA
National Provider Identifier
1619127214
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104001719 Issued in VA
Practice address
102 Dry Mill Rd SW
Suite 102
Leesburg, VA 20175-2635
Phone
(703) 777-8891
Fax
(703) 777-8892
NPI assigned
Sep 19, 2008
Last updated
Sep 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0104001719 VA Primary

Addresses

Primary practice location

102 Dry Mill Rd SW
Suite 102
Leesburg, VA 20175-2635

Mailing address

102 Dry Mill Rd SW
Suite 102
Leesburg, VA 20175-2635
Phone (703) 777-8891

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104001719VAMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1619127214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DRY MILL RD SW",
            "address_2": "SUITE 102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752635",
            "telephone_number": "703-777-8891",
            "fax_number": "703-777-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DRY MILL RD SW",
            "address_2": "SUITE 102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752635",
            "telephone_number": "703-777-8891",
            "fax_number": "703-777-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGARTNER",
        "first_name": "PETER",
        "middle_name": "GILSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.