Empower Chiropractic Loudoun LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EMPOWER CHIROPRACTIC LOUDOUN LLC

Practice address

43150 Broadlands Center PLZ Ste 154
Broadlands, VA 20148-3801

Phone

(571) 319-6768

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Lichtenauer, DC

Title

Owner

Phone

(571) 319-6768

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1255908588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLZ STE 154",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483801",
            "telephone_number": "571-319-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLZ STE 154",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483801",
            "telephone_number": "571-319-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER CHIROPRACTIC LOUDOUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "LICHTENAUER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-319-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleena Desai, PHARMD, MBA
• Jane Elizabeth Dettra
• Felicity Donato
• Kimberly Edwards, R.N.
• Ismael Mohammed El-Tayuddin
• Jacquelyn Erb
• Erin Baer LPC PLLC
• Lisa Ernest
• Joel Esslinger
• Jumana Fahel, FNP-BC

• All providers in Broadlands, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.