Active NPI
Chiropractic Care Inc
- Chiropractor
- Fairfax, VA
National Provider Identifier
1689737611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556275
- Legal business name
- CHIROPRACTIC CARE INC
- Practice address
- 10195 Main St Ste F
Fairfax, VA 22031-3415 - Phone
- (703) 277-9590
- Fax
- (703) 273-6574
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad R Komaily, D.C.
- Title
- President
- Phone
- (703) 277-9590
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556275 | VA | Primary |
Addresses
Primary practice location
10195 Main St Ste F
Fairfax, VA 22031-3415
Mailing address
10195 Main St Ste F
Fairfax, VA 22031-3415
Phone (703) 277-9590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G01625 | Other | DC | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10195 Main St
Ste F
Fairfax, VA 22031
Phone (703) 277-9590
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fairfax, VA
- NPI 1508257890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1689737611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10195 MAIN ST STE F",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313415",
"telephone_number": "703-277-9590",
"fax_number": "703-273-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10195 MAIN ST STE F",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313415",
"telephone_number": "703-277-9590",
"fax_number": "703-273-6574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "KOMAILY",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-277-9590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "G01625",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.