Active NPI
Kristine Maggs, D.C.
- Chiropractor
- Haymarket, VA
National Provider Identifier
1790870434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001526
- Practice address
- 5551 Tournament Dr
Haymarket, VA 20169-3101 - Phone
- (703) 477-6174
- NPI assigned
- Oct 4, 2006
- Last updated
- Nov 7, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001526 | VA | Primary |
Addresses
Primary practice location
5551 Tournament Dr
Haymarket, VA 20169-3101
Mailing address
5551 Tournament Dr
Haymarket, VA 20169-3101
Phone (703) 477-6174
Other practice location 1
7400 Heritage Village Plz
Suite 101
Gainesville, VA 20155-3308
Phone (703) 753-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VV3560A283 | Other | VA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001526 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Care Corporation | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Gainesville, VA
- NPI 1891281101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1790870434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 TOURNAMENT DR",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201693101",
"telephone_number": "703-477-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5551 TOURNAMENT DR",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201693101",
"telephone_number": "703-477-6174"
}
],
"practiceLocations": [
{
"address_1": "7400 Heritage Village Plz",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "VA",
"postal_code": "201553308",
"country_code": "US",
"telephone_number": "703-753-5599",
"fax_number": "703-753-7599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGGS",
"first_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "VV3560A283",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haymarket, VA
- Joanna Krekel Losi, M.S., CCC-SLP
- Catherine Ann Love, LPC/LMFT
- Lowe Dental Group and Associates PLLC (Awesome Smiles Dental Center)
- Tontra P Lowe, DDS
- Kristin A Lynch, PHARMD.D.
- Isabel Marie Maples, RDN
- Kimberly Marmol, PT
- Christina Louise Martin, PT, DPT
- Masterpiece Health and Wellness Inc
- Colleen McElhinney, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.