Active NPI
Shandon Joseph Thompson, D.C.
- Sports Physician Chiropractor
- Ashburn, VA
National Provider Identifier
1225112857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104001181
- Practice address
- 44121 Harry Byrd Hwy
#120
Ashburn, VA 20147-5667 - Phone
- (703) 777-1234
- Fax
- (571) 918-0760
- NPI assigned
- Oct 24, 2006
- Last updated
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
44121 Harry Byrd Hwy
Suite 120
Ashburn, VA 20147-5668
Phone (703) 777-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shandon J. Thompson, D.C., P.C. | Sports Physician | Current | Accepting new patients |
| Restore Health of VA LLC | Current | Accepting new patients | |
| Chad Parsons, DC PC | Past | Accepting new patients | |
| Jonathan D Smith, DC, PC | Past | Accepting new patients |
Locations
21 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 777-1234
Organizations & group practices 4
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.
-
dba Loudoun Spine & Sports Group
- Sports Physician Chiropractor
- Ashburn, VA
- NPI 1104082064
-
- Multi-Specialty Clinic/Center
- Ashburn, VA
- NPI 1326653585
-
- Chiropractor
- Ashburn, VA
- NPI 1285872002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1225112857",
"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": "703-777-8277"
},
{
"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": "571-918-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHANDON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "0104001181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 30, 2009; 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.