NPIMap

Organization Active NPI

Total Spine Chiropractic Clinic, LLC

  • Chiropractor
  • Woodbridge, VA
National Provider Identifier
1649533100
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
014556866 Issued in VA
Legal business name
TOTAL SPINE CHIROPRACTIC CLINIC, LLC
Practice address
1970 Opitz Blvd
Woodbridge, VA 22191-3304
Phone
(703) 401-8911
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Adam Dennison, D.C.NPI 1316243397
Title
Owner/Chiropractor
Phone
(703) 401-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 014556866 VA Primary

Addresses

Primary practice location

1970 Opitz Blvd
Woodbridge, VA 22191-3304

Mailing address

4001 Buckingham CT
Dumfries, VA 22025-1705
Phone (703) 401-8911

National Provider Directory

National Provider Directory

Locations

1970 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 494-8174

Practitioners & affiliated clinicians

Practitioners 3

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": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1649533100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BUCKINGHAM CT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251705",
            "telephone_number": "703-401-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-401-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPINE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "703-401-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "014556866",
            "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 Jun 20, 2012; 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.