Active NPI
Vaseles Asimacopoulos
- Chiropractor
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555602
- 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, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104555602 | Other | VA | VA STATE LICENSE NUMBER |
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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bea, LLC | Chiropractor | Current | Accepting new patients |
| Richmond Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Every Day Relationships Consulting, LLC | Past | 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.
-
dba Total Health Chiropractic Center
- Chiropractor
- Fredericksburg, VA
- NPI 1245247832
-
- Clinical Social Worker
- Fredericksburg, VA
- NPI 1578006441
-
- Chiropractor
- Glen Allen, VA
- NPI 1689885808
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.