MAIMONIDES CHIROPRACTIC PC
NPI 1417276742
Chiropractor in Fairfax, VA

Active since May 26, 2010
10807 MAIN ST STE 800, FAIRFAX, VA 22030(703) 383-1630(703) 383-1631 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maimonides Chiropractic Pc NPPES

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

MAIMONIDES CHIROPRACTIC PC (NPI 1417276742) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since May 2010. The organization lists Erica Ms Statman, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1417276742
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMAIMONIDES CHIROPRACTIC PC
Location Address10807 MAIN ST STE 800Fairfax, VA 22030-4730
Mailing Address10807 Main St Ste 800Fairfax, VA 22030-4730 · (703) 383-1630 · Fax (703) 383-1631
Fax(703) 383-1631
Organization SubpartNo
Authorized OfficialErica Ms StatmanChiropractor · (703) 383-1630
Enumeration DateMay 26, 2010
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1417276742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001952
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.
10807 MAIN ST STE 800, Fairfax, VA 22030

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maimonides Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maimonides Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104970938
10807 MAIN ST SUITE 800
Fairfax, VA 22030
(703) 383-1630
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maimonides Chiropractic PC's NPI number?

The NPI number for Maimonides Chiropractic PC is 1417276742. It was assigned to this organization in the NPPES registry on May 26, 2010.

Where is Maimonides Chiropractic PC located?

Maimonides Chiropractic PC is located at 10807 Main St Ste 800, Fairfax, VA 22030. The listed phone number is (703) 383-1630.

What is Maimonides Chiropractic PC's specialty?

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

Is Maimonides Chiropractic PC enrolled in Medicare?

Yes. Maimonides Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maimonides Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Maimonides Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maimonides Chiropractic PC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.