Organization Active NPI

Dante Salon and Wellnes Spa

  • Rehabilitation Chiropractor
  • Fairfax, VA
National Provider Identifier
1548477086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104555856 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002283254002OtherVAUNITED HEALTHCARE
292274OtherVAANTHEM
G899-0001OtherVACAREFIRST BCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.