Organization Active NPI

Benedetti Chiropractic, LLC

Doing business as Loudoun Family Wellness

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1881156305
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BENEDETTI CHIROPRACTIC, LLC
Doing business as
Loudoun Family Wellness
Practice address
15B Loudoun St SW
Leesburg, VA 20175-2908
Phone
(740) 275-2110
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Dr. Landon C Benedetti, DCNPI 1902310600
Title
Chiropractor
Phone
(740) 275-2110

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 Primary

Addresses

Primary practice location

15B Loudoun St SW
Leesburg, VA 20175-2908

Mailing address

5600 Brownsville Rd Apt 1
Pittsburgh, PA 15236-2938

Other names 1

  • Loudoun Family Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531000928 VA Part B Supplier - Clinic/Group Practice 5496088726 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

15E Loudoun St SW
Leesburg, VA 20175
Phone (703) 779-7909

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1881156305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BROWNSVILLE RD APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B LOUDOUN ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752908",
            "telephone_number": "740-275-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDETTI CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "BENEDETTI",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "740-275-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2019; 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.