Collins Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLLINS CHIROPRACTIC, LLC

Practice address

7830 Backlick Rd Ste 405
Springfield, VA 22150-2205

Phone

(703) 884-7882

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Burgandi Collins, DC

Title

Chiropractor/Owner

Phone

(703) 884-7882

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1740872951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 BACKLICK RD STE 405",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502205",
            "telephone_number": "703-884-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 BACKLICK RD STE 405",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502205",
            "telephone_number": "703-884-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BURGANDI",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "703-884-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316394919",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "address_1": "7830 Backlick Rd Ste 405",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221502205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa F Coday, LPTA
• Marie Coffelt, DDS
• Lindsey Cogswell
• Jasmin Kilayko Cole, M.D.
• Collaborative Community LLC
• Terry Lynn Collins, MS CCC SLP
• Traci L Colodner, LCSW
• Casey Commerce, RBT
• Commonwealth Mental Health Assoc
• Commonwealth Mental Healyh Associates

• Clinic/Center in Springfield, VA
• Providers in Springfield, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.