Dudko Chiropractic LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104556122 Issued in VA

Legal business name

DUDKO CHIROPRACTIC LLC

Practice address

8136 Old Keene Mill Rd
A314
Springfield, VA 22152-1850

Phone

(703) 644-9311

Fax

(703) 644-3907

NPI assigned

Oct 17, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Dudko, DC

Title

Member-Owner/Chiropractor

Phone

(703) 644-9311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1760767214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "A314",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-644-9311",
            "fax_number": "703-644-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "A314",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-644-9311",
            "fax_number": "703-644-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDKO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "DUDKO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEMBER-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "703-644-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104556122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Springfield, VA
• Providers in Springfield, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.