Chancellor Eugene Foulks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557485 Issued in VA

Practice address

6454 Old Beulah St
Alexandria, VA 22315-3721

Phone

(703) 832-0990

NPI assigned

Apr 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• American Chiropractic Clinic

  • Chiropractor
  • Mesquite, TX
  • NPI 1326115643
  NPD
• A Younique Wellness Care Clinic

  • Health Service Clinic/Center
  • Frisco, TX
  • NPI 1104337047
  NPD (past)

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524873600000",
    "number": "1962990531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 RUTLAND CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914456",
            "telephone_number": "773-322-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 OLD BEULAH ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153721",
            "telephone_number": "703-832-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKS",
        "first_name": "CHANCELLOR",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortitude Wellness Collective, LLC
• Lorenz Fortune Fortuno, PT, DPT
• Forward Focus ABA VA LLC
• Forward Steps Therapy PLLC
• Lauren Foster, OTR/L OTD
• Foundations Physical Therapy, LLC
• Fountain Medical Transport LLC
• Fountain Medicals LLC
• Kathleen Fountain, LCSW
• Fountains Washington House SL, LLC

• Chiropractor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; 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.