Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jesse Manuel Ventoso, DC

Individual provider Chiropractor · NPI 1316555873

Dr. Jesse Manuel Ventoso, DC is a Chiropractic in Fairfax, Virginia. Graduated from Life Chiropractic College in 2019, 7 years ago. Practices with Lee DC Active Family Wellness, a 6-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Trained at
Life Chiropractic College
Licensed in
VA
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

11350 Random Hills Rd Ste 300
Fairfax, VA 22030-7421
Phone: (703) 373-7113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104557858 (VA)

Record details

NPI number1316555873
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address11350 Random Hills Rd Ste 300, Fairfax, VA 22030-7421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2019 (7 years in practice)
Group practice Lee Dc Active Family Wellness — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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