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FAIRFAX CHIROPRACTIC AND WELLNESS CENTER LLC
NPI 1417629387
Chiropractor in Fairfax, VA

Active since September 29, 2021
10640 MAIN ST STE 103, FAIRFAX, VA 22030(703) 291-6677(703) 352-8935 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairfax Chiropractic And Wellness Center Llc NPPES

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

FAIRFAX CHIROPRACTIC AND WELLNESS CENTER LLC (NPI 1417629387) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since September 2021. The organization lists Benjamin N Glasman, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1417629387
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFAIRFAX CHIROPRACTIC AND WELLNESS CENTER LLC
Location Address10640 MAIN ST STE 103Fairfax, VA 22030-3930
Mailing Address10640 Main St Ste 103Fairfax, VA 22030-3930 · (703) 291-6677 · Fax (703) 352-8935
Phone(703) 291-6677
Fax(703) 352-8935
Organization SubpartNo
Authorized OfficialBenjamin N GlasmanOwner Of Entity · (703) 291-6677
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1417629387 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.
10640 MAIN ST STE 103, Fairfax, VA 22030
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREAKTHROUGH CHIROPRACTIC CARE, LLC
Chiropractor
10640 MAIN ST STE 103
FAIRFAX, VA 22030
Fairfax City (703) 352-4357

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 Fairfax Chiropractic And Wellness Center LLC's NPI number?

The NPI number for Fairfax Chiropractic And Wellness Center LLC is 1417629387. It was assigned to this organization in the NPPES registry on September 29, 2021.

Where is Fairfax Chiropractic And Wellness Center LLC located?

Fairfax Chiropractic And Wellness Center LLC is located at 10640 Main St Ste 103, Fairfax, VA 22030. The listed phone number is (703) 291-6677.

What is Fairfax Chiropractic And Wellness Center LLC'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 Fairfax Chiropractic And Wellness Center LLC was last updated on September 29, 2021. 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.