Active NPI
Milan Lassiter, D.C.
- Chiropractor
- Richmond, VA
National Provider Identifier
1972714079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-555801
- Practice address
- 1303 West Main Street
Richmond, VA 23220 - Phone
- (804) 254-5765
- Fax
- (804) 254-5763
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 0104-555801 | VA | |
| Chiropractor | 111N00000X | 0104-555801 | VA | Primary |
Addresses
Primary practice location
1303 West Main Street
Richmond, VA 23220
Mailing address
1303 West Main Street
Richmond, VA 23220
Phone (804) 254-5765
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1303 W Main St
Richmond, VA 23220-4851
Phone (804) 254-5765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104-555801 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Sport & Spine, Inc. | Current | Accepting new patients | |
| Madison Family Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Spine & Osteoarthritis Center of NJ, LLC | Sports Physician | Past | Accepting new patients |
Locations
1303 W Main St
Richmond, VA 23220
Phone (804) 254-5765
Organizations & group practices 3
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.
-
- Rehabilitation Chiropractor
- Richmond, VA
- NPI 1861816563
-
dba Goldfarb Spinal Aid & Rehabilitation
- Chiropractor
- Morristown, NJ
- NPI 1528255742
-
- Internal Medicine Physician
- Cedar Knolls, NJ
- NPI 1821328402
Sports Physician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1972714079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 WEST MAIN STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23220",
"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 WEST MAIN STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23220",
"telephone_number": "804-254-5765",
"fax_number": "804-254-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSITER",
"first_name": "MILAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "0104-555801",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-555801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.