Organization Active NPI

Optimum Wellness Chiropractic, LLC

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1669178117
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMUM WELLNESS CHIROPRACTIC, LLC
Practice address
8000 Towers Crescent Dr Ste 170014
Vienna, VA 22182-6207
Phone
(202) 991-4317
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. Josh Angulo, DCNPI 1598341844
Title
Ceo & Founder
Phone
(202) 991-4317

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8000 Towers Crescent Dr Ste 170014
Vienna, VA 22182-6207

Mailing address

8000 Towers Crescent Dr Ste 170014
Vienna, VA 22182-6207

Other names 1

  • Optimum Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

8000 Towers Crescent Dr
Ste 170014
Vienna, VA 22182
Phone (202) 991-4317

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1669178117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR STE 170014",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR STE 170014",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826207",
            "telephone_number": "202-991-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "ANGULO",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "202-991-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2023; 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.