Active NPI
Leonard Allan Poe Jr., DC
- Chiropractor
- Fairfax, VA
National Provider Identifier
1992963870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556628 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multi Discipline Alternative Care Center, LTD | Chiropractor | Current | Accepting new patients |
| Core Concepts Chiropractic by Roselle | Chiropractor | Current | 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.
-
- Chiropractor
- Broadlands, VA
- NPI 1811555212
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.