Individual provider Active NPI

Lisa D Przybysz, DC

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1346493699
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556653 Issued in VA
Practice address
10831 Main St
Fairfax, VA 22030-4701
Phone
(703) 273-7733
Fax
(703) 385-9693
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556653 VA Primary

Addresses

Primary practice location

10831 Main St
Fairfax, VA 22030-4701

Mailing address

10831 Main St
Fairfax, VA 22030-4701
Phone (703) 273-7733

Other names 1

  • Lisa D Simcoke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10831 Main St
Fairfax, VA 22030-4701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center of Fairfax Inc. Chiropractor CurrentSince Oct 20, 2008 Accepting new patients
Przybysz Chiropractic PLLC Chiropractor CurrentSince Jun 17, 2026 Accepting new patients

Locations

10831 Main St
Fairfax, VA 22030
Phone (703) 273-7733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1346493699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304701",
            "telephone_number": "703-273-7733",
            "fax_number": "703-385-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10831 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304701",
            "telephone_number": "703-273-7733",
            "fax_number": "703-385-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYSZ",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SIMCOKE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.