Active NPI
Jaime Diana Luciano, D.C.
- Chiropractor
- Herndon, VA
National Provider Identifier
1770743775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556668
- Practice address
- 102 Elden St
Suite 13
Herndon, VA 20170-4868 - Phone
- (703) 742-5470
- Fax
- (703) 742-0435
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 0104556668 | VA | Primary |
Addresses
Primary practice location
102 Elden St
Suite 13
Herndon, VA 20170-4868
Mailing address
49 Spillway CT
Martinsburg, WV 25405-6394
Phone (703) 919-8691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556668 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Chiropractic | Chiropractor | Past | Accepting new patients |
| In Touch Chiropractic, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Herndon, VA
- NPI 1962589051
-
- Rehabilitation Chiropractor
- Clarksville, TN
- NPI 1659757128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1770743775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SPILLWAY CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254056394",
"telephone_number": "703-919-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ELDEN ST",
"address_2": "SUITE 13",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704868",
"telephone_number": "703-742-5470",
"fax_number": "703-742-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANO",
"first_name": "JAIME",
"middle_name": "DIANA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.