Laser Sport & Spine, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104-555801 Issued in VA

Legal business name

LASER SPORT & SPINE, INC.

Practice address

1303 W Main St
Richmond, VA 23220-4851

Phone

(804) 254-5765

Fax

(804) 254-5763

NPI assigned

Feb 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Milan Lassiter, D.C.NPI 1972714079

Title

Owner/Chiropractor

Phone

(804) 254-5765

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Milan Lassiter, D.C.

  • Chiropractor
  • Richmond, VA
  • NPI 1972714079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1861816563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 KILBY CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165825",
            "telephone_number": "804-254-5765",
            "fax_number": "804-254-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204851",
            "telephone_number": "804-254-5765",
            "fax_number": "804-254-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPORT & SPINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "804-254-5765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104-555801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR'S PRIOR INDIVIDUAL NPI #",
            "identifier": "1972714079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David James Larson, DDS
• Lori Brown Larson
• Robert A. Larson, M.D.
• Cathleen Lary
• Laser & Skin Surgery Center of Richmond PC
• Iris Wei Hui Lashley
• Genee Rochelle Marion Lassalle-Lister, C.N.M.
• Eric Michael Lassiter
• Milan Lassiter, D.C.
• Isaiah Laster

• Rehabilitation Chiropractor in Richmond, VA
• Providers in Richmond, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; 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.