Individual provider Active NPI

Jason Stugart, D.C.

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1427285782
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556774 Issued in VA
Practice address
44115 Woodridge Pkwy Ste 150
Leesburg, VA 20176-6824
Phone
(571) 291-9359
NPI assigned
Jun 14, 2009
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556774 VA Primary

Addresses

Primary practice location

44115 Woodridge Pkwy Ste 150
Leesburg, VA 20176-6824

Mailing address

44115 Woodridge Pkwy Ste 150
Leesburg, VA 20176-6824
Phone (571) 291-9359

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

State licenses

LicenseStateTypeSpecialty
0104556774VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Chiropractic LLC Chiropractor CurrentSince Oct 24, 2021 Accepting new patients
Loudoun Chiropractic Chiropractor Past Accepting new patients

Locations

44115 Woodridge Pkwy
Ste 150
Leesburg, VA 20176
Phone (571) 291-9359

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": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1427285782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44115 WOODRIDGE PKWY STE 150",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766824",
            "telephone_number": "571-291-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44115 WOODRIDGE PKWY STE 150",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766824",
            "telephone_number": "571-291-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUGART",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-14",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.