Canzano Chiropractic & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001467 Issued in VA

Legal business name

CANZANO CHIROPRACTIC & WELLNESS CENTER

Practice address

423 Carlisle Dr
Herndon, VA 20170-4802

Phone

(703) 481-6004

Fax

(703) 481-8944

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lynn R. Canzano, D.C.NPI 1942366372

Title

President

Phone

(703) 481-6004

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn R Canzano, DC

  • Chiropractor
  • Herndon, VA
  • NPI 1942366372

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346436078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CARLISLE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-481-6004",
            "fax_number": "703-481-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CARLISLE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-481-6004",
            "fax_number": "703-481-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANZANO CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CANZANO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-481-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7378225",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "453264",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nalani Butler
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• Michelle Cades-Loggia, LCSW
• Calvert Rejuvenations
• Amadeus Yvez Cannon
• Lynn R Canzano, DC
• Jing Cao
• Capitol Rehab Center of Herndon, LLC
• Capitol Rehab of Herndon
• Capstone Chiropractic LLC

• Chiropractor in Herndon, VA
• Providers in Herndon, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.