Individual provider Active NPI

Leonard Allan Poe Jr., DC

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1992963870
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556628 Issued in VA
Practice address
8550 Arlington Blvd Ste 325
Fairfax, VA 22031-4647
Phone
(703) 698-7117
Fax
(703) 698-5729
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556628 VA Primary

Addresses

Primary practice location

8550 Arlington Blvd Ste 325
Fairfax, VA 22031-4647

Mailing address

8550 Arlington Blvd Ste 325
Fairfax, VA 22031-4647
Phone (703) 698-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090508000011 DC Practitioner - Chiropractic 2264580976 Reassigns benefits to 1 organization
I20160418000319 VA Practitioner - Chiropractic 2264580976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556628VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Discipline Alternative Care Center, LTD Chiropractor CurrentSince Apr 27, 2009 Accepting new patients
Core Concepts Chiropractic by Roselle Chiropractor CurrentSince Jun 20, 2020 Accepting new patients

Locations

42882 Truro Parish Dr
Ste 207
Broadlands, VA 20148
Phone (703) 723-4178

8550 Arlington Blvd
Ste 325
Fairfax, VA 22031
Phone (703) 698-7117

8500 Executive Park Ave
Ste 300
Fairfax, VA 22031
Phone (703) 698-7117

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1992963870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD STE 325",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD STE 325",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "LEONARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.