Active NPI
Igin Zijerdi, DC
- Chiropractor
- Herndon, VA
National Provider Identifier
1083216634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557711
- Practice address
- 102 Elden St Ste 12
Herndon, VA 20170-4839 - Phone
- (703) 581-8999
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13263 | FL | |
| Chiropractor | 111N00000X | 0104557711 | VA | Primary |
Addresses
Primary practice location
102 Elden St Ste 12
Herndon, VA 20170-4839
Mailing address
102 Elden St Ste 12
Herndon, VA 20170-4839
Phone (703) 581-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557711 | VA | MD | Chiropractor |
| 13263 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1083216634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ELDEN ST STE 12",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704839",
"telephone_number": "703-581-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ELDEN ST STE 12",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704839",
"telephone_number": "703-581-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIJERDI",
"first_name": "IGIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13263",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.