Active NPI
Comprehensive Chiropractic and Sports Injury Center P C
- Sports Physician Chiropractor
- Haymarket, VA
National Provider Identifier
1891998142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- COMPREHENSIVE CHIROPRACTIC AND SPORTS INJURY CENTER P C
- Practice address
- 15100 Washington St
Suite 104
Haymarket, VA 20169-4918 - Phone
- (703) 753-0122
- Fax
- (703) 753-0171
- NPI assigned
- Jun 6, 2007
- 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
- Dr. Douglas L Obetz, D C
- Title
- President
- Phone
- (703) 753-0122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary |
Addresses
Primary practice location
15100 Washington St
Suite 104
Haymarket, VA 20169-4918
Mailing address
15100 Washington St
Suite 104
Haymarket, VA 20169-4918
Phone (703) 753-0122
National Provider Directory
National Provider DirectoryLocations
15100 Washington St
Ste 104
Haymarket, VA 20169
Phone (703) 753-0122
15100 Washington St
Ste 102
Haymarket, VA 20169
Phone (703) 753-0122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Haymarket, VA
- NPI 1730661505
-
- Chiropractor
- Haymarket, VA
- NPI 1831619311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1891998142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15100 WASHINGTON ST",
"address_2": "SUITE 104",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201694918",
"telephone_number": "703-753-0122",
"fax_number": "703-753-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 WASHINGTON ST",
"address_2": "SUITE 104",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201694918",
"telephone_number": "703-753-0122",
"fax_number": "703-753-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE CHIROPRACTIC AND SPORTS INJURY CENTER P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "OBETZ",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-753-0122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D C"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.