Individual provider Active NPI

William Todd Fisher, BS DC

  • Chiropractor
  • Chantilly, VA
National Provider Identifier
1891888103
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000705 Issued in VA
Practice address
3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279
Phone
(703) 378-2698
Fax
(703) 378-1451
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000705 VA Primary

Addresses

Primary practice location

3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279

Mailing address

3910 Centreville Road
Suite 202
Chantilly, VA 20151
Phone (703) 378-2698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001126 DC Practitioner - Chiropractic 8729976873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
0104000705VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Chantilly LLC Chiropractor CurrentSince Feb 3, 2024 Accepting new patients

Locations

3910 Centreville Rd
Ste 202
Chantilly, VA 20151
Phone (703) 378-2698

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1891888103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE ROAD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513279",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "credential": "BS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000705",
            "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 Jan 16, 2013; 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.