Dan Traxler, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557566 Issued in VA

Practice address

6 Pidgeon Hill Dr Ste 150
Sterling, VA 20165-6146

Phone

(703) 634-6500

NPI assigned

Sep 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1790456085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR STE 150",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-634-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR STE 150",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656146",
            "telephone_number": "703-634-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXLER",
        "first_name": "DAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA CHIROPRACTIC LICENSING BOARD",
            "identifier": "0104557566",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://connectfirstfamily.janeapp.com/",
            "affiliation": "N",
            "endpointDescription": "EHR Site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Pidgeon Hill Dr Ste 150",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201656146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.