Organization Active NPI

Ashdale Chiropractic II, Inc.

Doing business as Ashdale Chiropractic & Physical Therapy

  • Chiropractor
  • McLean, VA
National Provider Identifier
1750544722
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556534 Issued in VA
Legal business name
ASHDALE CHIROPRACTIC II, INC.
Doing business as
Ashdale Chiropractic & Physical Therapy
Practice address
1485 Chain Bridge Rd Ste 100
MC Lean, VA 22101-4513
Phone
(703) 583-1222
Fax
(703) 649-3467
NPI assigned
Jul 9, 2008
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Craig D Sanford, D.C.NPI 1861684771
Title
Owner/Chiropractor
Phone
(703) 583-1222

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
Chiropractor 111N00000X 0104556534 VA Primary

Addresses

Primary practice location

1485 Chain Bridge Rd Ste 100
MC Lean, VA 22101-4513

Mailing address

2950 Dale Blvd
Dale City, VA 22193
Phone (703) 583-1222

Other practice location 1

2950 Dale Blvd
Dale City, VA 22193
Phone (703) 583-1222

Other names 1

  • Ashdale Chiropractic & Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080819000924 VA Part B Supplier - Clinic/Group Practice 9537234919 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA
O20130828000369 DC Part B Supplier - Clinic/Group Practice 9537234919 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

1485 Chain Bridge Rd
Ste 100
McLean, VA 22101
Phone (703) 583-1222

Practitioners & affiliated clinicians

Practitioners 1

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1750544722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 DALE BLVD",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "703-583-1222",
            "fax_number": "703-583-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CHAIN BRIDGE RD STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014513",
            "telephone_number": "703-583-1222",
            "fax_number": "703-649-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Dale Blvd",
            "address_purpose": "LOCATION",
            "city": "Dale City",
            "state": "VA",
            "postal_code": "22193",
            "country_code": "US",
            "telephone_number": "703-583-1222",
            "fax_number": "703-583-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHDALE CHIROPRACTIC II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "703-583-1222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashdale Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashdale Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.