Active NPI
Blaise Mitchell Lavorgna, DC
- Chiropractor
- Salisbury, MD
National Provider Identifier
1225033004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1405PT
- Practice address
- 32071 Beaves Run Drive
Salisbury, MD 21804 - Phone
- (410) 341-6520
- Fax
- (410) 341-6526
- NPI assigned
- Jun 17, 2005
- Last updated
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1405PT | MD | Primary |
Addresses
Primary practice location
32071 Beaves Run Drive
Salisbury, MD 21804
Mailing address
P. O. Box 1859
Salisbury, MD 21802-1859
Phone (410) 341-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405PT | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salisbury Musculoskeletal Clinic | Past | Accepting new patients | |
| Adam Moyer DC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Salisbury, MD
- NPI 1700955697
-
- Chiropractor
- Salisbury, MD
- NPI 1437594850
-
- Physical Therapist
- Salisbury, MD
- NPI 1164622643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1225033004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 1859",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021859",
"telephone_number": "410-341-6520",
"fax_number": "410-341-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32071 BEAVES RUN DRIVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-341-6520",
"fax_number": "410-341-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVORGNA",
"first_name": "BLAISE",
"middle_name": "MITCHELL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "1405PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.