Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316555873 Individual Practitioner Male Practitioner

Dr. Jesse Manuel Ventoso , DC

Chiropractor • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Ventoso, DC is a certified Chiropractor practicing in Fairfax, VA. With approximately 7 years of clinical experience since graduating from Life Chiropractic College in 2019, Dr. Ventoso delivers high-quality medical care to the local community at 11350 RANDOM HILLS RD STE 300.

Dr. Ventoso is affiliated with Lee Dc Active Family Wellness and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11350 Random Hills Rd Ste 300

Fairfax, VA 220307421

Telephone 7033737113
Associated Practice Facility / Clinic
🏢 Active Family Wellness Pllc Facility NPI 1629680079

Medicare Profile & Education

Medical School

Life Chiropractic College

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fairfax, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -15.2 yrs vs City Avg
City Avg: 22.2 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
79 Specialists

Practicing in Fairfax, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ventoso (7 Years) 7 Yrs
Fairfax Specialty Average (22.2 Years) 22.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-06
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VA 0104557858

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.

Hospital & Practice Group Affiliations

Lee Dc Active Family Wellness

11350 Random Hills Rd, Fairfax, VA 220307421

Phone: 7033737113

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1154419950

Doctor of Chiropractic

Janine Cutinho

Chiropractor

NPI 1396410890
Gadiel Ramos

Chiropractor

NPI 1427906791
NPI 1689377236

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 06, 2025

Registered at 11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 220307421 (Tel: 7033737113)

📍
Updated Business Mailing Address January 06, 2025

Registered at 11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 220307421 (Tel: 7033737113)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2025

Chiropractor (License #0104557858 in VA)

NPI Profile Active July 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2020

Registered at 341 SMITH RD, PARSIPPANY, NJ 070542805 (Tel: 9735854415)

📍
Updated Business Mailing Address July 21, 2020

Registered at 341 SMITH RD, PARSIPPANY, NJ 070542805 (Tel: 9735854415)

👤
Provider Name / Credentials Updated July 21, 2020

Recorded as JESSE VENTOSO, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Chiropractor (License #2339137 in NJ)

🟢
Initial NPI Registration & Enumeration July 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316555873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2020
Last Update: January 06, 2025
Sole Proprietor: No

Mailing Address

11350 Random Hills Rd Ste 300

Fairfax, VA 220307421

Phone: 7033737113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.