Individual provider Active NPI

Xiaolu Jia Dong, D.C.

  • Chiropractor
  • Lancaster, SC
National Provider Identifier
1265500144
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1662 Issued in SC
Practice address
539 Hwy 9 Bypass East
Lancaster, SC 29720
Phone
(803) 286-5700
Fax
(803) 285-6119
NPI assigned
Dec 1, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1662 SC Primary

Addresses

Primary practice location

539 Hwy 9 Bypass East
Lancaster, SC 29720

Mailing address

539 Hwy 9 Bypass East
Lancaster, SC 29720
Phone (803) 286-5700

Other identifiers 1

IdentifierTypeStateIssuer
CH1662MedicaidSC

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster One Medical PA PastSince Jul 18, 2001 Accepting new patients
Werner Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1265500144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 HWY 9 BYPASS EAST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-286-5700",
            "fax_number": "803-285-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 HWY 9 BYPASS EAST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-286-5700",
            "fax_number": "803-285-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "XIAOLU",
        "middle_name": "JIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1662",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.