Primary Health Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIMARY HEALTH CENTER, INC

Practice address

7360 McWhorter PL
Suite 100
Annandale, VA 22003-5633

Phone

(703) 354-8111

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Taejong Oh, D.C.

Title

Owner

Phone

(703) 354-8111

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1629248257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 MCWHORTER PL",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035633",
            "telephone_number": "703-354-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 MCWHORTER PL",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035633",
            "telephone_number": "703-354-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "TAEJONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-354-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G771-0001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "274262",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Dental Specialists PLLC
• Prestige Health Services, LLC
• Bradley Pretzer
• Dudley Randolph Price, MD
• Primary Gerontology Center LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Proactive Chiropractic Corp
• Procare Pharmacy Health Center
• Professional Healthcare Resources Inc

• 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 Mar 11, 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.