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ACTIVE FAMILY CHIROPARCTIC
NPI 1073771176
Chiropractor in Reston, VA

Active since May 27, 2008
11790 BARON CAMERON AVE STE J, RESTON, VA 20190(703) 689-3500(703) 689-3500 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Family Chiroparctic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE FAMILY CHIROPARCTIC (NPI 1073771176) is a healthcare organization registered as a chiropractor in Reston, Virginia and active in the NPI registry since May 2008. The organization lists Blanca L Quintanilla, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1073771176
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE FAMILY CHIROPARCTIC
Location Address11790 BARON CAMERON AVE STE JReston, VA 20190-5873
Mailing Address11790 Baron Cameron Ave Ste JReston, VA 20190-5873 · (703) 689-3500 · Fax (703) 689-3500
Phone(703) 689-3500
Fax(703) 689-3500
Organization SubpartNo
Authorized OfficialBlanca L QuintanillaInsurance Manager · (703) 689-3500
Enumeration DateMay 27, 2008
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1073771176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11790 BARON CAMERON AVE STE J, Reston, VA 20190
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Other Identifiers 2

Medicare PING01137DC
Medicare OSCAR/certificationG01137VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Family Chiroparctic's NPI number?

The NPI number for Active Family Chiroparctic is 1073771176. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Active Family Chiroparctic located?

Active Family Chiroparctic is located at 11790 Baron Cameron Ave Ste J, Reston, VA 20190. The listed phone number is (703) 689-3500.

What is Active Family Chiroparctic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Active Family Chiroparctic was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.