Individual provider Active NPI

Allen W Kowarski, D.C.

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1700975695
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000650 Issued in VA
Practice address
3970 Walnut St
Fairfax, VA 22030
Phone
(703) 291-6677
Fax
(703) 649-6411
NPI assigned
Oct 11, 2006
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000650 VA Primary

Addresses

Primary practice location

3970 Walnut St
Fairfax, VA 22030

Mailing address

3970 Walnut St
Fairfax, VA 22030
Phone (703) 291-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000382 DC Practitioner - Chiropractic 7315002318 Reassigns benefits to 1 organization
Practice locations: Fairfax, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmercare Chiropractic McLean LLCGroup PAC ID 6002288610, 2 clinicians

Practice addresses (Care Compare)

6862 Elm St
Suite 810
MC Lean, VA 22101-3868
Phone (703) 994-4874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000650VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic McLean LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Allen Kowarski, Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Allen Kowarski, Chiropractor Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

6862 Elm St
Ste 810
Mc Lean, VA 22101
Phone (703) 994-4874

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1700975695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-291-6677",
            "fax_number": "703-649-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-291-6677",
            "fax_number": "703-649-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWARSKI",
        "first_name": "ALLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2016; 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.