Individual provider Active NPI

Patrick John McNally, DC

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1679521314
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000569 Issued in VA
Practice address
435-A Carlisle Drive
Herndon, VA 20170-4853
Phone
(703) 481-1616
Fax
(703) 481-3474
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000569 VA Primary

Addresses

Primary practice location

435-A Carlisle Drive
Herndon, VA 20170-4853

Mailing address

435A Carlisle Dr
Herndon, VA 20170-4802
Phone (703) 481-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000676 DC Practitioner - Chiropractic 4880759638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Health and Wellenss Center, P.C.Group PAC ID 7517027246, 2 clinicians

Practice addresses (Care Compare)

13300 Franklin Farm Rd
Suite B
Herndon, VA 20171-4096
Phone (703) 787-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Health and Wellenss Center, P.C. Chiropractor CurrentSince Nov 15, 2023 Accepting new patients

Locations

13300 Franklin Farm Rd
Ste B
Herndon, VA 20171
Phone (703) 787-7463

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1679521314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435A CARLISLE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-481-1616",
            "fax_number": "703-481-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435-A CARLISLE DRIVE",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704853",
            "telephone_number": "703-481-1616",
            "fax_number": "703-481-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.