Spine Arts Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001821 Issued in VA

Legal business name

SPINE ARTS CENTER

Practice address

6120 Brandon Ave
Suite 203
Springfield, VA 22150-2522

Phone

(703) 644-2222

Fax

(703) 644-2488

NPI assigned

Jul 18, 2006

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Garry T Krakos, D.C.NPI 1235165564

Title

Doctor/Owner

Phone

(703) 644-2222

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Garry Thomas Krakos, DC

  • Chiropractor
  • Springfield, VA
  • NPI 1235165564

  DC

  Medicare reassignment Care Compare group Authorized official
• Kum Hui Lim-Krakos

  • Chiropractor
  • Springfield, VA
  • NPI 1063448397

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1649298415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-644-2222",
            "fax_number": "703-644-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-644-2222",
            "fax_number": "703-644-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KRAKOS",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "703-644-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555563",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Sparrow II
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• Speech Beginnings, PLC
• Spinal Health Group, LLC
• Spinal Health Group, LLC
• Cynthia Marie Spinelli, NP
• Mallory Spinelli, RD
• Athena E Spingler
• Jeanette Spirides
• Maria Spiritosanto, RN

• Chiropractor in Springfield, VA
• Providers in Springfield, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.