NPIMap

Organization Active NPI

Leesburg Chiropractic and Massage, P.L.L.C.

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1710058490
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555813 Issued in VA
Legal business name
LEESBURG CHIROPRACTIC AND MASSAGE, P.L.L.C.
Practice address
36 Catoctin Cir SE Ste F
Leesburg, VA 20175-3632
Phone
(703) 777-4840
Fax
(703) 777-7130
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Joshua M Sampson, D.C.NPI 1912078601
Title
Owner
Phone
(703) 777-4840

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 0104555813 VA Primary

Addresses

Primary practice location

36 Catoctin Cir SE Ste F
Leesburg, VA 20175-3632

Mailing address

36 Catoctin Cir SE Ste F
Leesburg, VA 20175-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000000 VA Part B Supplier - Clinic/Group Practice 5294997417 Receives reassigned benefits from 2 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

36 Catoctin Cir SE
Ste F
Leesburg, VA 20175
Phone (703) 777-4840

302 Industrial Ct SE
Ste C
Leesburg, VA 20175
Phone (703) 777-4840

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1710058490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CATOCTIN CIR SE STE F",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753632",
            "fax_number": "703-777-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CATOCTIN CIR SE STE F",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753632",
            "telephone_number": "703-777-4840",
            "fax_number": "703-777-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG CHIROPRACTIC AND MASSAGE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-777-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.