Organization Active NPI

Lee a. Bazzarone, DC Inc.

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1366856296
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000764 Issued in VA
Legal business name
LEE A. BAZZARONE, DC INC.
Practice address
2557 Chain Bridge Rd
Vienna, VA 22181-5517
Phone
(703) 938-9300
Fax
(703) 938-0694
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Lee Anthony Bazzarone, DC
Title
President
Phone
(703) 938-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104000764 VA Primary

Addresses

Primary practice location

2557 Chain Bridge Rd
Vienna, VA 22181-5517

Mailing address

2557 Chain Bridge Rd
Vienna, VA 22181-5517
Phone (703) 938-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1366856296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815517",
            "telephone_number": "703-938-9300",
            "fax_number": "703-938-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815517",
            "telephone_number": "703-938-9300",
            "fax_number": "703-938-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE A. BAZZARONE, DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "BAZZARONE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-938-9300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.