Raw Chiropratic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0631768 Issued in VA

Legal business name

RAW CHIROPRATIC INC

Doing business as

Pinecrest Wellness Center

Practice address

7010 Little River Tpke
Suite #430
Annandale, VA 22003-3241

Phone

(703) 354-2225

Fax

(703) 354-6119

NPI assigned

Nov 5, 2007

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Walsh

Title

Office Manager

Phone

(703) 354-2225

Specialties & licenses 1

Addresses

Other names 1

• Pinecrest Wellness Center Doing business as

Locations

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.

• Wilfried F Sansfaute, D.C

  • Chiropractor
  • Arlington, VA
  • NPI 1386768000
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1821278052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE #430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE #430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAW CHIROPRATIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-354-2225"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0631768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecrest Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramin Rak, M.D.
• Jorge I Ramallo, M.D.
• Sherry Ransom
• Karlo Rarangol
• Sujata Rastogi
• Rayyan Home Health Care
• Reconstructive Plastic Surgery Consultants, LLC
• Manisha Reddy, M.D.
• Jenna Danzig Reiter
• Reliance Home Health Care LLC

• Clinic/Center in Annandale, VA
• Providers in Annandale, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.