Organization Active NPI

Jaguar Integrative LLC

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1609683481
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JAGUAR INTEGRATIVE LLC
Practice address
10560 Main St Ste 403
Fairfax, VA 22030-7174
Phone
(703) 594-9157
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Dion Marcellus Blackmon, DACHM, LAC
Title
Owner/Doctor of Acupuncture
Phone
(703) 594-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

10560 Main St Ste 403
Fairfax, VA 22030-7174

Mailing address

10560 Main St Ste 403
Fairfax, VA 22030-7174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1609683481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307174",
            "telephone_number": "703-594-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGUAR INTEGRATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "DION",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF ACUPUNCTURE",
        "authorized_official_telephone_number": "703-594-9157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACHM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2025; 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.