Active NPI
William Todd Fisher, BS DC
- Chiropractor
- Chantilly, VA
National Provider Identifier
1891888103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000705
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000705 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmercare Chiropractic Chantilly LLC | Chiropractor | Current | 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.