Organization Active NPI

District Wellness LLC

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1992277305
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISTRICT WELLNESS LLC
Practice address
2778 Washington Blvd
Arlington, VA 22201-1945
Phone
(571) 765-2324
NPI assigned
Dec 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Authorized official

Name
Hooman Hamidi, DCNPI 1639483951
Title
Owner
Phone
(571) 765-2324

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 Primary

Addresses

Primary practice location

2778 Washington Blvd
Arlington, VA 22201-1945

Mailing address

2778 Washington Blvd
Arlington, VA 22201-1945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190307001440 DC Part B Supplier - Clinic/Group Practice 7810236999 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

2778 Washington Blvd
Arlington, VA 22201
Phone (240) 899-5648

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": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1992277305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 WASHINGTON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 WASHINGTON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011945",
            "telephone_number": "571-765-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-765-2324",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.