Organization Active NPI

Ashburn Village Chiropractic

  • Chiropractor
  • Ashburn, VA
National Provider Identifier
1982771523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001700 Issued in VA
Legal business name
ASHBURN VILLAGE CHIROPRACTIC
Practice address
44110 Ashburn Shopping PLZ
Suite 158
Ashburn, VA 20147-3999
Phone
(703) 723-6800
Fax
(703) 723-6777
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Scott Solomon, D.C.NPI 1841381258
Title
Physician
Phone
(703) 723-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001700 VA Primary

Addresses

Primary practice location

44110 Ashburn Shopping PLZ
Suite 158
Ashburn, VA 20147-3999

Mailing address

44110 Ashburn Shopping PLZ
Suite 158
Ashburn, VA 20147-3999
Phone (703) 723-6800

Other identifiers 6

IdentifierTypeStateIssuer
244466OtherVAANTHEM BC BS
7299117OtherAETNA PPO
2749530OtherAETNA HMO
8249057OtherCIGNA
505594OtherNCPPO
7110650OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000863 VA Part B Supplier - Clinic/Group Practice 9436056579 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

44110 Ashburn Shopping Plz
Unit 158
Ashburn, VA 20147
Phone (703) 723-6800

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982771523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44110 ASHBURN SHOPPING PLZ",
            "address_2": "SUITE 158",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473999",
            "telephone_number": "703-723-6800",
            "fax_number": "703-723-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44110 ASHBURN SHOPPING PLZ",
            "address_2": "SUITE 158",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473999",
            "telephone_number": "703-723-6800",
            "fax_number": "703-723-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBURN VILLAGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-723-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "244466",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7299117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2749530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8249057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "505594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "7110650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.