Individual provider Active NPI

Vaseles Asimacopoulos

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1992712541
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555602 Issued in VA
Practice address
5705 Salem Run Blvd
Suite 100
Fredericksburg, VA 22407-7119
Phone
(540) 726-4882
Fax
(540) 786-4893
NPI assigned
Aug 2, 2006
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555602 VA Primary

Addresses

Primary practice location

5705 Salem Run Blvd
Suite 100
Fredericksburg, VA 22407-7119

Mailing address

12200 Amos LN
Fredericksburg, VA 22407-7107
Phone (540) 786-4882

Other identifiers 1

IdentifierTypeStateIssuer
0104555602OtherVAVA STATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000105 VA Practitioner - Chiropractic 9739247032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12200 Amos LN
Fredericksburg, VA 22407-7107
Phone (540) 786-4882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bea, LLC Chiropractor CurrentSince May 17, 2011 Accepting new patients
Richmond Chiropractic Center, LLC Chiropractor PastSince Mar 1, 2007 Accepting new patients
Every Day Relationships Consulting, LLC PastSince Jul 15, 2011 Accepting new patients

Locations

5705 Salem Run Blvd
Ste 100
Fredericksburg, VA 22407
Phone (540) 786-4882

12200 Amos Ln
Fredericksburg, VA 22407
Phone (540) 786-4882

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1992712541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 AMOS LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077107",
            "telephone_number": "540-786-4882",
            "fax_number": "540-786-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 SALEM RUN BLVD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077119",
            "telephone_number": "540-726-4882",
            "fax_number": "540-786-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIMACOPOULOS",
        "first_name": "VASELES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE NUMBER",
            "identifier": "0104555602",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.