Individual provider Active NPI

Landon Benedetti, DC

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1902310600
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557553 Issued in VA
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

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190531001041 VA Practitioner - Chiropractic 1456619113 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0104557553VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benedetti Chiropractic, LLC Chiropractor CurrentSince Mar 22, 2019 Accepting new patients
Lifeforce Chiropractic Incorporated Chiropractor PastSince Jan 2, 2002 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.

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.

Verify at the official NPI Registry.