Organization Active NPI

Vertical Wellness Spine and Health LLC

  • Clinic/Center
  • Vienna, VA
National Provider Identifier
1669078408
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VERTICAL WELLNESS SPINE AND HEALTH LLC
Practice address
2104 Gallows Rd Ste a
Vienna, VA 22182-3929
Phone
(571) 378-0860
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Daniel KimNPI 1699223693
Title
Owner/Chiropractor
Phone
(571) 378-0860

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2104 Gallows Rd Ste a
Vienna, VA 22182-3929

Mailing address

8381 Old Courthouse Rd Ste 350
Vienna, VA 22182-3830

Other practice location 1

8381 Old Courthouse Rd Ste 350
Vienna, VA 22182-3830
Phone (571) 378-0860 ext. 25190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303001043 DC Part B Supplier - Clinic/Group Practice 1254747009 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

8381 Old Courthouse Rd
Ste 350
Vienna, VA 22182
Phone (571) 378-0860

2104 Gallows Rd
Ste A
Vienna, VA 22182
Phone (571) 378-0860

Practitioners & affiliated clinicians

Practitioners 1

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1669078408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GALLOWS RD STE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823929",
            "telephone_number": "571-378-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8381 Old Courthouse Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823830",
            "country_code": "US",
            "telephone_number": "571-378-0860 x25190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERTICAL WELLNESS SPINE AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "571-378-0860"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.