Nova Spine & Injury Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556356 Issued in VA

Legal business name

NOVA SPINE & INJURY CENTER, INC.

Practice address

4211 Fairfax Corner East Ave
Suite 200
Fairfax, VA 22030-8622

Phone

(703) 222-6211

Fax

(703) 222-6212

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David C Shaffer, DCNPI 1700893161

Title

Owner / President

Phone

(703) 222-6211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C Shaffer, DC

  • Chiropractor
  • Riverside, CA
  • NPI 1700893161
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902911290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLZ",
            "address_2": "SUITE 120, PMB 177",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053034",
            "telephone_number": "703-222-6211",
            "fax_number": "703-222-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER EAST AVE",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308622",
            "telephone_number": "703-222-6211",
            "fax_number": "703-222-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPINE & INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "703-222-6211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Premier Eyecare, P.C.
• Nova Professional Home Health Care LLC
• Nova Psych & Wellness
• Nova Reconstructive Surgery LLC
• Nova Smile Design PLLC (Smile Design of Northern Virginia)
• Nova Women's Healthcare Inc
• Nova Wound Care, P.C.
• Anita Diguglielmo Novak, L.P.C.
• David J Novak, MD
• Novamed Associates PC

• 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 Aug 22, 2020; 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.