Organization Active NPI

Fairfax Acupuncture Center, Inc.

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1962752733
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
121000055 Issued in MD
Legal business name
FAIRFAX ACUPUNCTURE CENTER, INC.
Practice address
10807 Main St Ste 800
Fairfax, VA 22030-4730
Phone
(703) 462-8566
Fax
(703) 383-1631
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Cynthia Pearson
Title
President
Phone
(703) 462-8566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 121000055 MD Primary

Addresses

Primary practice location

10807 Main St Ste 800
Fairfax, VA 22030-4730

Mailing address

10807 Main St Ste 800
Fairfax, VA 22030-4730
Phone (703) 462-8566

National Provider Directory

National Provider Directory

Locations

10807 Main St
Ste 800
Fairfax, VA 22030
Phone (703) 383-1630

Practitioners & affiliated clinicians

Practitioners 1

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1962752733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 MAIN ST STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304730",
            "telephone_number": "703-462-8566",
            "fax_number": "703-383-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 MAIN ST STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304730",
            "telephone_number": "703-462-8566",
            "fax_number": "703-383-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX ACUPUNCTURE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-462-8566"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "121000055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.