Active NPI
Landon Benedetti, DC
- Chiropractor
- Leesburg, VA
National Provider Identifier
1902310600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557553
- Practice address
- 15B Loudoun St SW
Leesburg, VA 20175-2908 - Phone
- (740) 275-2110
- NPI assigned
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011314 | PA | |
| Chiropractor | 111N00000X | 0104557553 | VA | Primary |
Addresses
Primary practice location
15B Loudoun St SW
Leesburg, VA 20175-2908
Mailing address
1990 Township Road 106
Rayland, OH 43943-7883
Other practice location 1
5400 Keeport Dr
Pittsburgh, PA 15236-3008
Phone (412) 655-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 B Loudoun St SW
Leesburg, VA 20175-2908
Phone (740) 275-2110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557553 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benedetti Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Lifeforce Chiropractic Incorporated | Chiropractor | Past | Accepting new patients |
Locations
15E Loudoun St SW
Leesburg, VA 20175
Phone (703) 779-7909
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
- Pittsburgh, PA
- NPI 1740373943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1902310600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 TOWNSHIP ROAD 106",
"city": "RAYLAND",
"state": "OH",
"postal_code": "439437883"
},
{
"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": [
{
"address_1": "5400 Keeport Dr",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152363008",
"country_code": "US",
"telephone_number": "412-655-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENEDETTI",
"first_name": "LANDON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-17",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011314",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557553",
"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 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.