Individual provider Active NPI

Lisa Bochynski Basler, D.C

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1992880389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001920 Issued in VA
Practice address
8705 Professional PL
Manassas, VA 20110-4411
Phone
(703) 393-8228
Fax
(703) 393-9558
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001920 VA Primary

Addresses

Primary practice location

8705 Professional PL
Manassas, VA 20110-4411

Mailing address

8705 Professional PL
Manassas, VA 20110-4411
Phone (703) 393-8228

Other identifiers 3

IdentifierTypeStateIssuer
336611OtherVAANTHEM
G6430002OtherVACAREFIRST
1030999OtherVAASH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000474 VA Practitioner - Chiropractic 5092990184 Reassigns benefits to 1 organization

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
Group practices
Basler Chiropractic and WellnessGroup PAC ID 8022326248, 2 clinicians

Practice addresses (Care Compare)

9430 Forestwood LN
Suite 104
Manassas, VA 20110-4754
Phone (703) 393-8228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001920VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Basler Chiropractic & Wellness Chiropractor CurrentSince Jun 1, 1999 Accepting new patients

Locations

9430 Forestwood Ln
Ste 104
Manassas, VA 20110
Phone (703) 393-8228

8705 Professional Pl
Manassas, VA 20110
Phone (703) 393-8228

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992880389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 PROFESSIONAL PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104411",
            "telephone_number": "703-393-8228",
            "fax_number": "703-393-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 PROFESSIONAL PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104411",
            "telephone_number": "703-393-8228",
            "fax_number": "703-393-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLER",
        "first_name": "LISA",
        "middle_name": "BOCHYNSKI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "336611",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G6430002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1030999",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, 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.

Verify at the official NPI Registry.