Organization Active NPI

Fairfax Chiropractic PC

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1629186234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001448 Issued in VA
Legal business name
FAIRFAX CHIROPRACTIC PC
Practice address
3933 University Drive
Fairfax, VA 22030-2506
Phone
(703) 279-2101
Fax
(703) 279-2102
NPI assigned
Aug 25, 2006
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. Elizabeth Katherine Murphree, DCNPI 1922116532
Title
President Officer
Phone
(703) 279-2101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001448 VA Primary

Addresses

Primary practice location

3933 University Drive
Fairfax, VA 22030-2506

Mailing address

3933 University Drive
Fairfax, VA 22030-2506
Phone (703) 279-2101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012000198 DC Part B Supplier - Clinic/Group Practice 2769442102 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

3933 University Dr
Fairfax, VA 22030
Phone (703) 279-2101

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629186234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 UNIVERSITY DRIVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302506",
            "telephone_number": "703-279-2101",
            "fax_number": "703-279-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 UNIVERSITY DRIVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302506",
            "telephone_number": "703-279-2101",
            "fax_number": "703-279-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHREE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT OFFICER",
        "authorized_official_telephone_number": "703-279-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, 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.
  • 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.