Active NPI
Shandon J. Thompson, D.C., P.C.
- Sports Physician Chiropractor
- Ashburn, VA
National Provider Identifier
1104082064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104001181
- Legal business name
- SHANDON J. THOMPSON, D.C., P.C.
- Doing business as
- Loudoun Spine & Sports Group
- Practice address
- 44121 Harry Byrd Hwy
#120
Ashburn, VA 20147-5667 - Phone
- (703) 777-1234
- Fax
- (703) 777-8277
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shandon J Thompson, D.C.
- Title
- President
- Phone
- (703) 777-1234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 0104001181 | VA | Primary |
Addresses
Primary practice location
44121 Harry Byrd Hwy
#120
Ashburn, VA 20147-5667
Mailing address
44121 Harry Byrd Hwy
#120
Ashburn, VA 20147-5667
Phone (703) 777-1234
Other names 1
- Loudoun Spine & Sports Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 777-1234
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Ashburn, VA
- NPI 1225112857
-
- Chiropractor
- Ashburn, VA
- NPI 1659380764
-
- Sports Physician Chiropractor
- Las Cruces, NM
- NPI 1265514632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1104082064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44121 HARRY BYRD HWY",
"address_2": "#120",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475667",
"telephone_number": "703-777-1234",
"fax_number": "571-918-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44121 HARRY BYRD HWY",
"address_2": "#120",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475667",
"telephone_number": "703-777-1234",
"fax_number": "703-777-8277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANDON J. THOMPSON, D.C., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "SHANDON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-777-1234",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "0104001181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Loudoun Spine & Sports Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.