Nova Ideal Spine
NPI 1205350469ActiveOrganization· Chiropractor· Lansdowne, VA
Chiropractor in Lansdowne, Virginia, registered in NPPES in July 2017. The authorized official on file is Jeanne Phelps, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205350469 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556594 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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