Active NPI
Moir Farrell Bowman, DC
- Chiropractor
- Fairfax, VA
National Provider Identifier
1861612699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000546
- Practice address
- 9683 Main St Ste D
Fairfax, VA 22031-3755 - Phone
- (703) 978-1111
- Fax
- (703) 978-8732
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0104000546 | VA | Primary |
Addresses
Primary practice location
9683 Main St Ste D
Fairfax, VA 22031-3755
Mailing address
9683 Main St Ste D
Fairfax, VA 22031-3755
Phone (703) 978-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617001527 | DC | Practitioner - Chiropractic | 7517290919 | Practice locations: Fairfax, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9683 D Main St
Fairfax, VA 22031-3744
Phone (703) 978-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000546 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861612699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9683 MAIN ST STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313755",
"telephone_number": "703-978-1111",
"fax_number": "703-978-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9683 MAIN ST STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313755",
"telephone_number": "703-978-1111",
"fax_number": "703-978-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "MOIR",
"middle_name": "FARRELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, 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.