Family and Sports Chiropractic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FAMILY AND SPORTS CHIROPRACTIC INC

Doing business as

Ashburn Medical Spa & Wellness Center

Practice address

20955 Professional PLZ Ste 320
Ashburn, VA 20147-3405

Phone

(571) 918-0795

Fax

(571) 918-0808

NPI assigned

Dec 27, 2006

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Urschel, D.C.

Title

Owner

Phone

(301) 947-8883

Specialties & licenses 2

Addresses

Other names 1

• ASHBURN MEDICAL SPA & WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Lynn Urschel, D.C.

  • Chiropractor
  • Ashburn, VA
  • NPI 1932149796
  Medicare reassignment Care Compare group NPD
• Kraig Dewitt Moore, M.D.

  • Medical Oncology Physician
  • Upper Marlboro, MD
  • NPI 1790957983

  VA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1912062985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ STE 320",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "571-918-0795",
            "fax_number": "571-918-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ STE 320",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "571-918-0795",
            "fax_number": "571-918-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND SPORTS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "URSCHEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-947-8883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASHBURN MEDICAL SPA & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASHBURN MEDICAL SPA & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evolution Behavioral Health Services, LLC
• Madison Lee Fagan
• Neveen Fahmy
• Fairfax Family Practice Centers PC (Broadlands Family Practice)
• Olawunmi Fajobi
• Yanfei Fan
• Solmaz Farajnia, OD
• Felicia Farrar
• Ladan Farshad, PHARM.D
• Deborah Ibukunoluwa Fashakin

• Multi-Specialty Clinic/Center in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.

Verify at the official NPI Registry.