Individual provider Active NPI

Megan Leeburton, DC

  • Chiropractor
  • Chantilly, VA
National Provider Identifier
1457162877
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558049 Issued in VA
Practice address
3910 Centreville Rd Ste 202
Chantilly, VA 20151-3280
Phone
(703) 378-2698
Fax
(703) 378-1451
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558049 VA Primary

Addresses

Primary practice location

3910 Centreville Rd Ste 202
Chantilly, VA 20151-3280

Mailing address

3910 Centreville Rd Ste 202
Chantilly, VA 20151-3280
Phone (703) 378-2698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326003780 DC Practitioner - Chiropractic 9436672896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmercare Chiropractic Chantilly LLCGroup PAC ID 1456797273, 4 clinicians

Practice addresses (Care Compare)

3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3280
Phone (703) 378-2698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Chantilly LLC Chiropractor CurrentSince Mar 21, 2025 Accepting new patients

Locations

3910 Centreville Rd
Ste 202
Chantilly, VA 20151
Phone (703) 378-2698

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1457162877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD STE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513280",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD STE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513280",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEBURTON",
        "first_name": "MEGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.