Individual provider Active NPI

Judy Flores, DC

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1699489260
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557860 Issued in VA
Practice address
4875 Eisenhower Ave Ste 215
Alexandria, VA 22304-4854
Phone
(703) 750-1177
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557860 VA Primary

Addresses

Primary practice location

4875 Eisenhower Ave Ste 215
Alexandria, VA 22304-4854

Mailing address

4875 Eisenhower Ave Ste 215
Alexandria, VA 22304-4854
Phone (703) 750-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514001933 DC Practitioner - Chiropractic 9133560717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4875 Eisenhower Ave
Suite 215
Alexandria, VA 22304-4854
Phone (703) 750-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557860VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Family Chiropractic of Alexandria, LLC Chiropractor CurrentSince Mar 27, 2024 Accepting new patients
Chiro Park PC Chiropractor PastSince Nov 12, 2023 Accepting new patients

Locations

4875 Eisenhower Ave
Ste 215
Alexandria, VA 22304
Phone (703) 750-1177

5249 Duke St
Ste 301
Alexandria, VA 22304
Phone (240) 863-2822

Organizations & group practices 2

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1699489260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 215",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044854",
            "telephone_number": "703-750-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 215",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044854",
            "telephone_number": "703-750-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JUDY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.