Organization Active NPI

Herndon Chiropractic & Acupuncture Care, PC

  • Internist Chiropractor
  • Herndon, VA
National Provider Identifier
1700049871
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
0104000299 Issued in VA
Legal business name
HERNDON CHIROPRACTIC & ACUPUNCTURE CARE, PC
Practice address
694 Pine St
Herndon, VA 20170-4600
Phone
(703) 481-9000
Fax
(703) 481-9003
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Gurutrang Singh Khalsa, D.C.NPI 1093790263
Title
President
Phone
(703) 481-9000

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)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 0104000299 VA Primary

Addresses

Primary practice location

694 Pine St
Herndon, VA 20170-4600

Mailing address

694 Pine St
Herndon, VA 20170-4600
Phone (703) 481-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091210000578 DC Part B Supplier - Clinic/Group Practice 0648310383 Receives reassigned benefits from 1 practitioner
Practice locations: Herndon, VA

National Provider Directory

National Provider Directory

Locations

694 Pine St
Herndon, VA 20170
Phone (703) 481-9000

489 Carlisle Dr
Ste A
Herndon, VA 20170
Phone (703) 481-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1700049871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 PINE ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704600",
            "telephone_number": "703-481-9000",
            "fax_number": "703-481-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 PINE ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704600",
            "telephone_number": "703-481-9000",
            "fax_number": "703-481-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON CHIROPRACTIC & ACUPUNCTURE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "GURUTRANG",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-481-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104000299",
            "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 Jul 8, 2008; 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.