Wynn Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WYNN WELLNESS CENTER, LLC

Practice address

8500 Executive Park Ave Ste 308
Fairfax, VA 22031-2228

Phone

(703) 810-3311

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vu Hoang Nguyen, D.C.NPI 1962631739

Title

Owner

Phone

(703) 810-3311

Specialties & licenses 1

Addresses

Other names 1

• Executive Park Chiropractic and Acupuncture 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.

• Vu Hoang Nguyen, D.C.

  • Chiropractor
  • Arlington, VA
  • NPI 1962631739
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1891432183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 308",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312228",
            "telephone_number": "703-810-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 308",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312228",
            "telephone_number": "703-810-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-810-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Park Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryann S Wyatt
• Elizabeth Anne Wyer, M.ED. CCC-SLP
• Catherine E Wymer, PHARMD
• Wynn Family Medicine, PLLC
• Wynn Wellness Center LLC
• Alancia Christine Wynn, M.D.
• Harry Wilmer Wyre Jr., M.D.
• Magdalena Malgorzata Wyszogrodzka, PT
• Xiaolan Zhu PLLC
• Xyz Clinic

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.