American Chiropractic Clinic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556936 Issued in VA

Legal business name

AMERICAN CHIROPRACTIC CLINIC, PLLC

Doing business as

American Wellness and Chiropractic
Manassas Spine and Sport

Practice address

8224 Spruce St Ste 330
Manassas, VA 20111-2201

Phone

(703) 368-8000

Fax

(703) 368-1281

NPI assigned

Oct 7, 2015

Last updated

Feb 19, 2022By 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

Dr. Kyle S Bloch, DCNPI 1861779746

Title

Owner

Phone

(703) 368-8800

Specialties & licenses 1

Addresses

Other names 2

• American Wellness and Chiropractic Doing business as
• Manassas Spine and Sport Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Kyle Steven Bloch, D.C.

  • Chiropractor
  • Manassas, VA
  • NPI 1861779746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1982074670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 DORSEY CIR",
            "address_2": "SUITE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108301",
            "telephone_number": "703-368-8800",
            "fax_number": "703-368-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 SPRUCE ST STE 330",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112201",
            "telephone_number": "703-368-8000",
            "fax_number": "703-368-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-368-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Wellness and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manassas Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manassas Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.