Active NPI
Donald Rene Gauthier, D.C
- Rehabilitation Chiropractor
- Sterling, VA
National Provider Identifier
1780802041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104555777
- Practice address
- 2 Pidgeon Hill Dr.
Suite 280
Sterling, VA 20165-6149 - Phone
- (703) 404-1807
- Fax
- (703) 404-1827
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104555777 | VA | Primary |
Addresses
Primary practice location
2 Pidgeon Hill Dr.
Suite 280
Sterling, VA 20165-6149
Mailing address
2 Pidgeon Hill Dr.
Suite 280
Sterling, VA 20165
Phone (703) 404-1807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2 Pidgeon Hill Dr
Suite 280
Sterling, VA 20165-6149
Phone (703) 404-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tgvpc | Rehabilitation | Current | Accepting new patients |
| Alternative Wellness Clinic | Rehabilitation | Past | Accepting new patients |
Locations
2 Pidgeon Hill Dr
Ste 280
Sterling, VA 20165
Phone (703) 404-1807
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Sterling, VA
- NPI 1306052766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780802041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PIDGEON HILL DR.",
"address_2": "SUITE 280",
"city": "STERLING",
"state": "VA",
"postal_code": "20165",
"telephone_number": "703-404-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PIDGEON HILL DR.",
"address_2": "SUITE 280",
"city": "STERLING",
"state": "VA",
"postal_code": "201656149",
"telephone_number": "703-404-1807",
"fax_number": "703-404-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "DONALD",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104555777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.