Nova Gonstead Chiropractic Clinic PLLC
NPI 1356602049ActiveOrganization· Chiropractor· Fairfax, VA
Chiropractor in Fairfax, Virginia, registered in NPPES in May 2012. The authorized official on file is Min Koo Kang, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356602049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2012 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556856 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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