NPIMap

Organization Active NPI

Lansdowne Family Chiropractic Center Inc.

  • Chiropractor
  • Lansdowne, VA
National Provider Identifier
1619091667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555588 Issued in VA
Legal business name
LANSDOWNE FAMILY CHIROPRACTIC CENTER INC.
Practice address
19465 Deerfield Ave
Suite 108
Lansdowne, VA 20176-8446
Phone
(703) 723-4333
Fax
(703) 723-4343
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Kevin Alan Duke, D.C.NPI 1558430306
Title
President
Phone
(703) 723-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104555588 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave
Suite 108
Lansdowne, VA 20176-8446

Mailing address

19465 Deerfield Ave
Suite 108
Lansdowne, VA 20176-8446
Phone (703) 723-4333

Other identifiers 8

IdentifierTypeStateIssuer
0300292MedicaidVA
100511OtherVAASHN AETNA HMO
265563OtherVAANTHEM BCBS
1005511OtherVAASHN CIGNA HMO
1682306OtherVACIGNA PPO
F4520001OtherVACAREFIRST BCBS
629474OtherVAUNITED HEALTHCARE
7899141OtherVAAETNA PPO(NON HMO)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619091667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 108",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768446",
            "telephone_number": "703-723-4333",
            "fax_number": "703-723-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 108",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768446",
            "telephone_number": "703-723-4333",
            "fax_number": "703-723-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSDOWNE FAMILY CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-723-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300292",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN AETNA HMO",
            "identifier": "100511",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "265563",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN CIGNA HMO",
            "identifier": "1005511",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "1682306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "F4520001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "629474",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO(NON HMO)",
            "identifier": "7899141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, 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.