Advanced Spinal Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556588 Issued in VA

Legal business name

ADVANCED SPINAL CARE

Practice address

552 Fort Evans Rd
Suite 306
Leesburg, VA 20176-3378

Phone

(571) 258-1352

Fax

(571) 258-1354

NPI assigned

May 13, 2014

Last updated

May 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randolph Miller Michaux Jr., D.C

Title

Doctor/Owner

Phone

(571) 258-1352

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1699186643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD",
            "address_2": "SUITE 306",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "571-258-1352",
            "fax_number": "571-258-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD",
            "address_2": "SUITE 306",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "571-258-1352",
            "fax_number": "571-258-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MICHAUX",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "571-258-1352",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Leesburg, VA
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• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.