Active NPI
Robert L McClure, D.C.
- Chiropractor
- Dale City, VA
National Provider Identifier
1902963366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556493
- Practice address
- 2950 Dale Blvd
Dale City, VA 22193-1120 - Phone
- (202) 362-0900
- Fax
- (202) 362-1391
- NPI assigned
- Jan 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556493 | VA | Primary |
| Rehabilitation Chiropractor | 111NR0400X | CH030069 | DC |
Addresses
Primary practice location
2950 Dale Blvd
Dale City, VA 22193-1120
Mailing address
5100 Wisconsin Ave NW
Suite 251
Washington, DC 20016-4119
Phone (202) 362-0900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556493 | VA | MD | Chiropractor |
| CH030069 | DC | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Chiropractic of Olney, LLC | Rehabilitation | Current | Accepting new patients |
| Thomas M Connelly LLC | Chiropractor | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Life Chiropractic of Olney | Chiropractor | Past | Accepting new patients |
Locations
18120 Hillcrest Ave
Ste D
Olney, MD 20832
Phone (301) 924-6444
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Chiropractor
- Olney, MD
- NPI 1568515450
-
- Chiropractor
- Washington, DC
- NPI 1972697860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1902963366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 WISCONSIN AVE NW",
"address_2": "SUITE 251",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164119",
"telephone_number": "202-362-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 DALE BLVD",
"city": "DALE CITY",
"state": "VA",
"postal_code": "221931120",
"telephone_number": "202-362-0900",
"fax_number": "202-362-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556493",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "DC",
"license": "CH030069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dale City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.