Active NPI
S. Carrington, Inc
- Foot & Ankle Surgery Podiatrist
- Woodbridge, VA
National Provider Identifier
1700106424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301025
- Legal business name
- S. CARRINGTON, INC
- Practice address
- 14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908 - Phone
- (703) 490-8171
- Fax
- (703) 490-8172
- NPI assigned
- Jun 4, 2010
- 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. Shaunn D Malaka, DPM
- Title
- Owner
- Phone
- (703) 232-5776
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301025 | VA | Primary |
Addresses
Primary practice location
14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908
Mailing address
14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908
Phone (703) 490-8171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
14904 Richmond Hwy
Ste 105
Woodbridge, VA 22191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Woodbridge, VA
- NPI 1841714599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515628800000",
"number": "1700106424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY STE 105",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-490-8171",
"fax_number": "703-490-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY STE 105",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-490-8171",
"fax_number": "703-490-8172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S. CARRINGTON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2018-01-11",
"status": "A",
"authorized_official_last_name": "MALAKA",
"authorized_official_first_name": "SHAUNN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-232-5776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.