Palmercare Chiropractic Centreville Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALMERCARE CHIROPRACTIC CENTREVILLE INC

Practice address

14215E Centreville SQ
Centreville, VA 20121-2301

Phone

(703) 222-3737

NPI assigned

Apr 13, 2018

Organization subpart

No

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

Authorized official

Name

Casey Holm

Title

Cfo

Phone

(713) 829-7506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Hagemeier

  • Chiropractor
  • Centreville, VA
  • NPI 1295514461

  DC

  Medicare reassignment Care Compare group NPD
• Peter J McGarry, D.C.

  • Chiropractor
  • Vienna, VA
  • NPI 1992163190

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1780171918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215E CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215E CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212301",
            "telephone_number": "703-222-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC CENTREVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Olsen
• One Stop Pharmacy Inc
• Melissa Ordonez Mendez
• William Benjamin Ossakow, DDS
• Julie F Overholtzer, M.D.
• Smritee Pandey, DENTIST
• Jessica Sonia Panduro
• John Papanastasiou, RPH
• Joosung Park, D.C.
• Kristy Lee Park, BCBA

• Chiropractor in Centreville, VA
• Providers in Centreville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.