Joubin Bakhtar, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557202 Issued in VA

Practice address

1340 Old Chain Bridge Rd.
Suite 300a
McLean, VA 22101-3955

Phone

(703) 662-0220

Fax

(571) 814-3268

NPI assigned

Jun 29, 2015

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• McLean Chiropractic, Rehab and Massage Center LLC

  • Chiropractor
  • McLean, VA
  • NPI 1376095372

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1083096861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD.",
            "address_2": "SUITE 300A",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-662-0220",
            "fax_number": "571-814-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD.",
            "address_2": "SUITE 300A",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-662-0220",
            "fax_number": "571-814-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTAR",
        "first_name": "JOUBIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083096861",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amir Bajoghli, MD
• Mehran Bajoghli, M.D.
• Franca M Bakane, PMHNP
• Colleen Baker, LMFT
• Troy W Baker, D.O.
• Balance Art Acupuncture McLean
• Balance Sport & Spine LLC
• Ashley Balderson
• Mary A. Baldwin, PT
• Victoria J Balenger, PHD

• Chiropractor in McLean, VA
• Providers in McLean, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.