NPIMap

Organization Active NPI

Woodbridge Chiropractic Clinic, P.C.

Doing business as New Life Laser

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1770512444
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOODBRIDGE CHIROPRACTIC CLINIC, P.C.
Doing business as
New Life Laser
Woodbridge Accident & Injury Center
Practice address
13199 Centerpointe Way
Woodbridge, VA 22193-5284
Phone
(703) 730-0200
Fax
(703) 730-7771
NPI assigned
Jul 3, 2006
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Mitchell Scott White, D.C.NPI 1346202678
Title
Owner
Phone
(703) 730-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Chiropractor 111N00000X

Addresses

Primary practice location

13199 Centerpointe Way
Woodbridge, VA 22193-5284

Mailing address

13199 Centerpointe Way
Woodbridge, VA 22193-5284
Phone (703) 730-0200

Other names 2

  • New Life Laser Doing business as
  • Woodbridge Accident & Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

13199 Centerpointe Way
Woodbridge, VA 22193
Phone (703) 730-0200

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1770512444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13199 CENTERPOINTE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935284",
            "telephone_number": "703-730-0200",
            "fax_number": "703-730-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13199 CENTERPOINTE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935284",
            "telephone_number": "703-730-0200",
            "fax_number": "703-730-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-730-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Laser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodbridge Accident & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodbridge Accident & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.