NPIMap

Organization Active NPI

Can-Am Chiropractic and Wellness

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1831803915
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAN-AM CHIROPRACTIC AND WELLNESS
Practice address
150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063
Phone
(540) 395-5985
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Authorized official

Name
Riley Durbano, DC, ATCNPI 1730851619
Title
Co-Owner, Chiropractic Physician
Phone
(810) 819-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X

Addresses

Primary practice location

150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063

Mailing address

150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063
Phone (540) 395-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418000405 VA Part B Supplier - Clinic/Group Practice 5698140085 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

150 Olde Greenwich Dr
Ste 100
Fredericksburg, VA 22408
Phone (540) 395-5985

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677283200000",
    "number": "1831803915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OLDE GREENWICH DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084063",
            "telephone_number": "540-395-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OLDE GREENWICH DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084063",
            "telephone_number": "540-395-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN-AM CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "DURBANO",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "CO-OWNER, CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "810-819-7212",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; 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.