Individual provider Active NPI

Shandon Joseph Thompson, D.C.

  • Sports Physician Chiropractor
  • Ashburn, VA
National Provider Identifier
1225112857
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001181 Issued in VA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040303000988 VA Practitioner - Chiropractic 4284521253 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Shandon J. Thompson, D.C., P.C. Sports Physician CurrentSince Mar 1, 2004 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.

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.

Verify at the official NPI Registry.