Chantilly Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHANTILLY CHIROPRACTIC CENTER PC

Practice address

3910 Centreville Road
Suite 202
Chantilly, VA 20151

Phone

(703) 378-2698

Fax

(703) 378-1451

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

William Todd Fisher, BS DC

Title

Owner Doctor

Phone

(703) 378-2698

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629126016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE ROAD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE ROAD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANTILLY CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "703-378-2698",
        "authorized_official_credential": "BS DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001706",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Chaen Kwok, DDS, P.C.
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• Bethany Nicole Chandonais, MA, CCC-SLP
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• Chiropractor in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Chiropractor in Virginia

• 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.