NPIMap

Organization Active NPI

Advanced Chiropractic and Rehabilitation PC

Doing business as Haymarket Chiropractic

  • Chiropractor
  • Gainesville, VA
National Provider Identifier
1720060650
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556132 Issued in VA
Legal business name
ADVANCED CHIROPRACTIC AND REHABILITATION PC
Doing business as
Haymarket Chiropractic
Haymarket Chiropractic and Rehabilitation
Practice address
14535 John Marshall Highway
Suite 102
Gainesville, VA 20155-3839
Phone
(703) 753-0974
Fax
(703) 753-9709
NPI assigned
Nov 16, 2005
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Mrs. Holly D Moriarty, DCNPI 1346222338
Title
Owner
Phone
(703) 675-7179

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556132 VA Primary

Addresses

Primary practice location

14535 John Marshall Highway
Suite 102
Gainesville, VA 20155-3839

Mailing address

14535 John Marshall Hwy Ste 104
Gainesville, VA 20155-4024
Phone (703) 753-0974

Other names 2

  • Haymarket Chiropractic Doing business as
  • Haymarket Chiropractic and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129001189 VA Part B Supplier - Clinic/Group Practice 6901709617 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Locations

14535 John Marshall Hwy
Ste 104
Gainesville, VA 20155
Phone (703) 753-0974

493 Blackwell Rd
Ste 117
Warrenton, VA 20186
Phone (540) 905-7788

Practitioners & affiliated clinicians

Practitioners 9

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": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1720060650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554024",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HIGHWAY",
            "address_2": "SUITE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553839",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-675-7179",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haymarket Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haymarket Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haymarket Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.