Active NPI
Marc Fernandez Lampa, D.C.
- Chiropractor
- Dale City, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556442
- Practice address
- 2950 Dale Blvd
Dale City, VA 22193-1120 - Phone
- (703) 583-1222
- Fax
- (703) 583-1499
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556442 | VA | Primary |
Addresses
Primary practice location
2950 Dale Blvd
Dale City, VA 22193-1120
Mailing address
15215 Illinois Rd
Woodbridge, VA 22191-3624
Phone (678) 571-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
438 Commons Way
Building D
Toms River, NJ 08755-6428
Phone (732) 797-1771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556442 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Physical Therapy and Rehab Center PC | Chiropractor | Current | Accepting new patients |
| NJ Institute for Pain Relief | Chiropractor | Current | Accepting new patients |
Locations
305 Bayonne Crossing Way
Ste 101
Bayonne, NJ 07002
Phone (201) 778-2020
25 Commerce Dr
Ste 100
Cranford, NJ 07016
Phone (908) 801-0644
438 Commons Way
Bldg D
Toms River, NJ 08755
Phone (609) 601-2191
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bayonne, NJ
- NPI 1205509965
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689772915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15215 ILLINOIS RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913624",
"telephone_number": "678-571-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 DALE BLVD",
"city": "DALE CITY",
"state": "VA",
"postal_code": "221931120",
"telephone_number": "703-583-1222",
"fax_number": "703-583-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPA",
"first_name": "MARC",
"middle_name": "FERNANDEZ",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dale City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.