Active NPI
Lynn R Canzano, DC
- Chiropractor
- Herndon, VA
National Provider Identifier
1942366372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001467
- Practice address
- 423 Carlisle Dr
Herndon, VA 20170-4802 - Phone
- (703) 481-6004
- Fax
- (703) 481-8944
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0104001467 | VA | Primary |
Addresses
Primary practice location
423 Carlisle Dr
Herndon, VA 20170-4802
Mailing address
423 Carlisle Dr
Herndon, VA 20170-4802
Phone (703) 481-6004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453264 | Other | VA | ANTHEM BCBS |
| 7378225 | Other | VA | AETNA |
| 7264991 | Other | VA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
423 Carlisle Dr
Herndon, VA 20170-4802
Phone (703) 481-6004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canzano Chiropractic & Wellness Center | Chiropractor | Current | Accepting new patients |
Locations
423 Carlisle Dr
Herndon, VA 20170
Phone (703) 481-6004
Organizations & group practices 1
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": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942366372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704802",
"telephone_number": "703-481-6004",
"fax_number": "703-481-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704802",
"telephone_number": "703-481-6004",
"fax_number": "703-481-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANZANO",
"first_name": "LYNN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "453264",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7378225",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7264991",
"state": "VA"
}
],
"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 Jul 8, 2007; 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.