Individual provider Active NPI

Craig D Sanford, D.C.

  • Chiropractor
  • Woodbridge, VA
National Provider Identifier
1861684771
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556534 Issued in VA
Practice address
12801 Darby Brook CT 102
Woodbridge, VA 22192-2497
Phone
(703) 583-1222
Fax
(703) 821-2480
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556534 VA Primary

Addresses

Primary practice location

12801 Darby Brook CT 102
Woodbridge, VA 22192-2497

Mailing address

12801 Darby Brook CT
Suite 102
Woodbridge, VA 22192-2497
Phone (703) 583-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080819000920 VA Practitioner - Chiropractic 5991870370 Reassigns benefits to 1 organization
I20131007000933 DC Practitioner - Chiropractic 5991870370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12801 Darby Brook CT
Suite 102
Woodbridge, VA 22192-2497
Phone (703) 583-1222

1485 Chain Bridge Rd
Suite 100
MC Lean, VA 22101-4513
Phone (703) 583-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashdale Chiropractic II, Inc. Chiropractor CurrentSince Jul 1, 2008 Accepting new patients

Locations

1485 Chain Bridge Rd
Ste 100
McLean, VA 22101
Phone (703) 583-1222

12801 Darby Brook Ct
Ste 102
Woodbridge, VA 22192
Phone (703) 494-9922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1861684771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 DARBY BROOK CT",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922497",
            "telephone_number": "703-583-1222",
            "fax_number": "703-821-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 DARBY BROOK CT 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922497",
            "telephone_number": "703-583-1222",
            "fax_number": "703-821-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "CRAIG",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.

Verify at the official NPI Registry.