Active NPI
David Michael Gustitus, D.C.
- Chiropractor
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557688
- Practice address
- 8391 Old Courthouse Rd Ste 350
Vienna, VA 22182-3819 - Phone
- (571) 378-0108
- NPI assigned
- May 26, 2006
- Last updated
- Dec 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104-557688 | VA | Primary |
Addresses
Primary practice location
8391 Old Courthouse Rd Ste 350
Vienna, VA 22182-3819
Mailing address
8391 Old Courthouse Rd Ste 350
Vienna, VA 22182-3819
Phone (571) 378-0108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134317710 | Other | FEDERAL TAX ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | wholebodyhealthchiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8391 Old Courthouse Rd
Suite 350
Vienna, VA 22182-3819
Phone (414) 839-0983
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104-557688 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Body Health LLC | Chiropractor | Current | Accepting new patients |
| Rolc LLC | Chiropractor | Current | Accepting new patients |
| Masche Chiropractic Wellness Center | Chiropractor | Past | Accepting new patients |
Locations
8391 Old Courthouse Rd
Ste 350
Vienna, VA 22182
Phone (414) 839-0983
7133 S 76th St
Franklin, WI 53132
Phone (414) 858-1212
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Greenfield, WI
- NPI 1275759482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1962458216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8391 OLD COURTHOUSE RD STE 350",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823819",
"telephone_number": "571-378-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8391 OLD COURTHOUSE RD STE 350",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823819",
"telephone_number": "571-378-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTITUS",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "134317710",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "wholebodyhealthchiropractic.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8391 Old Courthouse Rd Ste 350",
"city": "Vienna",
"state": "VA",
"country_code": "US",
"postal_code": "221823819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.