Organization Active NPI

Palmercare Chiropractic McLean LLC

  • Chiropractor
  • McLean, VA
National Provider Identifier
1689188419
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMERCARE CHIROPRACTIC MCLEAN LLC
Practice address
6862 Elm St Ste 810
MC Lean, VA 22101-3868
Phone
(703) 994-4874
NPI assigned
Dec 1, 2017
Last updated
Dec 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Casey Holm
Title
Cfo
Phone
(713) 829-7506

Specialties & licenses 1

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

Addresses

Primary practice location

6862 Elm St Ste 810
MC Lean, VA 22101-3868

Mailing address

6862 Elm St Ste 810
MC Lean, VA 22101-3868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208001149 DC Part B Supplier - Clinic/Group Practice 6002288610 Receives reassigned benefits from 2 practitioners
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

6862 Elm St
Ste 810
Mc Lean, VA 22101
Phone (703) 994-4874

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": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1689188419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 810",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 810",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013868",
            "telephone_number": "703-994-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC MCLEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.