Individual provider Active NPI

Stephen Scott Lamp, D.C.

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1093821258
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC01251 Issued in VA
Practice address
8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647
Phone
(703) 698-7117
Fax
(703) 698-5729
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC01251 VA Primary

Addresses

Primary practice location

8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647

Mailing address

8500 Executive Park Avenue
#300
Fairfax, VA 22031-4647
Phone (703) 698-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000927 DC Practitioner - Chiropractic 7911038450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Multi Discipline Alternative Care Center, LTDGroup PAC ID 9537195060, 5 clinicians

Practice addresses (Care Compare)

8500 Executive Park Ave
Suite 300
Fairfax, VA 22031-2228
Phone (703) 698-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC01251VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093821258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVENUE",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVENUE",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314647",
            "telephone_number": "703-698-7117",
            "fax_number": "703-698-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMP",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "DC01251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.