Organization Active NPI

Comprehensive Chiropractic and Sports Injury Center P C

  • Sports Physician Chiropractor
  • Haymarket, VA
National Provider Identifier
1891998142
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
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

Updated by the provider on Jun 13, 2008

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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.