Organization Active NPI

Nova Headache & Chronic Pain Center

  • Clinic/Center
  • Burke, VA
National Provider Identifier
1710376652
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0104557221 Issued in VA
Legal business name
NOVA HEADACHE & CHRONIC PAIN CENTER
Practice address
8993 Cotswold Dr
Burke, VA 22015-1666
Phone
(703) 425-5550
Fax
(703) 425-5558
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Maureen Hayes, D.C
Title
President
Phone
(703) 425-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0104557221 VA Primary

Addresses

Primary practice location

8993 Cotswold Dr
Burke, VA 22015-1666

Mailing address

8993 Cotswold Dr
Burke, VA 22015-1666
Phone (703) 425-5550

National Provider Directory

National Provider Directory
Tax ID family
Nova Headache and Chronic Pain Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8993 Cotswold Dr
Burke, VA 22015
Phone (571) 331-5381

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1710376652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8993 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151666",
            "telephone_number": "703-425-5550",
            "fax_number": "703-425-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8993 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151666",
            "telephone_number": "703-425-5550",
            "fax_number": "703-425-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HEADACHE & CHRONIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-425-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104557221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.