Fairfax Chiropractic and Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556629 Issued in VA

Legal business name

FAIRFAX CHIROPRACTIC AND REHAB

Doing business as

Fairfax Chiropractiv and Rehab Center

Practice address

10721 Main Street Suite#104
Fairfax, VA 22030

Phone

(703) 717-2558

Fax

(703) 986-1827

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Young R ChoiNPI 1538315742

Title

Owner

Phone

(703) 599-0184

Specialties & licenses 1

Addresses

Other names 1

• Fairfax Chiropractiv and Rehab Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Young R Choi, DC

  • Chiropractor
  • Fairfax, VA
  • NPI 1538315742
  NPD (past) Authorized official
• Eun Soo Choi

  • Acupuncturist
  • Fairfax, VA
  • NPI 1619380789
  NPD (past)
• Ahyoung Ku, L.AC

  • Acupuncturist
  • MC Lean, VA
  • NPI 1306593744

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1972933240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306902",
            "telephone_number": "703-717-2558",
            "fax_number": "703-986-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN STREET SUITE#104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-717-2558",
            "fax_number": "703-986-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CHIROPRACTIC AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-599-0184",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Chiropractiv and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairfax Advanced Dentistry, P.C.
• Fairfax Arrhythmia, PLLC
• Fairfax Cardiac Imaging, LLC
• Fairfax Cardiology PC
• Fairfax Cataract and Retina PLLC
• Fairfax Chiropractic and Wellness Center LLC
• Fairfax Chiropractic PC
• Fairfax City Dentist, PLC
• Fairfax Colon & Rectal Surgery Center, LLC
• Fairfax Colon & Rectal Surgery, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.