Organization Active NPI

Woodbridge Chiropractic & Pain Management

  • Chiropractor
  • Woodbridge, VA
National Provider Identifier
1629360904
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000937 Issued in VA
Legal business name
WOODBRIDGE CHIROPRACTIC & PAIN MANAGEMENT
Practice address
3945 Prince William Pkwy
Woodbridge, VA 22192-5010
Phone
(703) 730-9222
Fax
(703) 730-9233
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Mohammad Yousefi, D.C.
Title
Director
Phone
(703) 730-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000937 VA Primary

Addresses

Primary practice location

3945 Prince William Pkwy
Woodbridge, VA 22192-5010

Mailing address

3945 Prince William Pkwy
Woodbridge, VA 22192-5010
Phone (703) 730-9222

National Provider Directory

National Provider Directory

Locations

3945 Prince William Pkwy
Woodbridge, VA 22192
Phone (703) 730-9222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1629360904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925010",
            "telephone_number": "703-730-9222",
            "fax_number": "703-730-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925010",
            "telephone_number": "703-730-9222",
            "fax_number": "703-730-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE CHIROPRACTIC & PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-730-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.