Active NPI
Dante Salon and Wellnes Spa
- Rehabilitation Chiropractor
- Fairfax, VA
National Provider Identifier
1548477086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104555856
- Legal business name
- DANTE SALON AND WELLNES SPA
- Practice address
- 3943 Old Lee Hwy
Fairfax, VA 22030-2401 - Phone
- (703) 352-2800
- Fax
- (703) 352-8026
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Mary Lee, D.C.
- Title
- President
- Phone
- (703) 352-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104555856 | VA | Primary |
Addresses
Primary practice location
3943 Old Lee Hwy
Fairfax, VA 22030-2401
Mailing address
3943 Old Lee Hwy
Fairfax, VA 22030-2401
Phone (703) 352-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002283254002 | Other | VA | UNITED HEALTHCARE |
| 292274 | Other | VA | ANTHEM |
| G899-0001 | Other | VA | CAREFIRST BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548477086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3943 OLD LEE HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302401",
"telephone_number": "703-352-2800",
"fax_number": "703-352-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3943 OLD LEE HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302401",
"telephone_number": "703-352-2800",
"fax_number": "703-352-8026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANTE SALON AND WELLNES SPA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-352-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104555856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "002283254002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "292274",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "G899-0001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.