NPIMap

Organization Active NPI

Blaise Lavorgna DC

  • Chiropractor
  • Salisbury, MD
National Provider Identifier
1700955697
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1405PT Issued in MD
Legal business name
BLAISE LAVORGNA DC
Practice address
32071 Beaver Run Drive
Suite B
Salisbury, MD 21804
Phone
(410) 341-6520
Fax
(410) 341-6526
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Blaise Mitchell Lavorgna, DC
Title
President
Phone
(410) 341-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1405PT MD Primary

Addresses

Primary practice location

32071 Beaver Run Drive
Suite B
Salisbury, MD 21804

Mailing address

32071 Beaver Run Dr.
Suite B
Salisbury, MD 21804
Phone (410) 341-6520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1700955697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR.",
            "address_2": "SUITE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DRIVE",
            "address_2": "SUITE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAISE LAVORGNA DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LAVORGNA",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-341-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1405PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.