Benjamin Jacob Zaccagnino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557652 Issued in VA

Practice address

3012 Forest Hills Cir
Lynchburg, VA 24501-2312

Phone

(434) 384-1663

NPI assigned

Apr 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1164041794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 FOREST HILLS CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012312",
            "telephone_number": "434-384-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 FOREST HILLS CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012312",
            "telephone_number": "434-384-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCAGNINO",
        "first_name": "BENJAMIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LYNCHBURG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LYNCHBURG",
            "address_1": "3012 Forest Hills Cir",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245012312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Young
• Katelyn Young
• Victoria S Young, MSW
• Aleshba Yousuf
• Latoya Denecia Yuille
• Kanza Safia Zahid, M.B.B.S
• Wael Zakkour, DDS
• Samira Zaman, M.D.
• Blain Abiy Zegeye, DC
• Ethan Zehr

• Chiropractor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.