Active NPI
Palmercare Chiropractic Chantilly LLC
- Chiropractor
- Chantilly, VA
National Provider Identifier
1881467538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PALMERCARE CHIROPRACTIC CHANTILLY LLC
- Practice address
- 3910 Centreville Rd Ste 202
Chantilly, VA 20151-3280 - Phone
- (703) 378-2698
- NPI assigned
- Nov 3, 2023
- Last updated
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Holm
- Title
- Cfo
- Phone
- (703) 421-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
3910 Centreville Rd Ste 202
Chantilly, VA 20151-3280
Mailing address
46169 Westlake Dr Ste 300
Sterling, VA 20165-5875
Phone (703) 421-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
46169 Westlake Dr
Ste 300
Sterling, VA 20165
Phone (703) 421-2990
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Chiropractor
- Chantilly, VA
- NPI 1386030799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1881467538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46169 WESTLAKE DR STE 300",
"city": "STERLING",
"state": "VA",
"postal_code": "201655875",
"telephone_number": "703-421-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 CENTREVILLE RD STE 202",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201513280",
"telephone_number": "703-378-2698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMERCARE CHIROPRACTIC CHANTILLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "HOLM",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "703-421-2990"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.