Individual provider Active NPI

Carrie Dancesia, D.C.

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1487994257
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557039 Issued in VA
Practice address
13961 Mansarde Ave
Apt 335
Herndon, VA 20171-6360
Phone
(607) 760-1230
NPI assigned
Feb 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557039 VA Primary

Addresses

Primary practice location

13961 Mansarde Ave
Apt 335
Herndon, VA 20171-6360

Mailing address

7439 Linton Hall Rd
Gainesville, VA 20155-2977
Phone (703) 753-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190325002908 VA Practitioner - Chiropractic 5597005736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Chiropractic IncorporatedGroup PAC ID 2860673860, 3 clinicians

Practice addresses (Care Compare)

7439 Linton Hall Rd
Gainesville, VA 20155-2977
Phone (703) 753-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557039VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Chiropractic Incorporated Chiropractor CurrentSince Feb 1, 2019 Accepting new patients

Locations

7439 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 753-8080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1487994257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 LINTON HALL RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552977",
            "telephone_number": "703-753-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13961 MANSARDE AVE",
            "address_2": "APT 335",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716360",
            "telephone_number": "607-760-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCESIA",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.