Vida Khalili, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO009055 Issued in GA

Practice address

1400 Hembree Rd Ste 130
Roswell, GA 30076-5711

Phone

(404) 671-8499

Fax

(404) 671-8490

NPI assigned

Jun 14, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Vida Brain Center

  • Chiropractor
  • Roswell, GA
  • NPI 1851090427
  NPD Authorized official
• Noel Therapy Services LLC

  • Hand Occupational Therapist
  • Roswell, GA
  • NPI 1427781590
  NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1154760957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 CHEROKEE PLACE",
            "city": "MARRIETTA",
            "state": "GA",
            "postal_code": "30067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HEMBREE RD STE 130",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765711",
            "telephone_number": "404-671-8499",
            "fax_number": "404-671-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "VIDA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CHIRO09065",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Kerr, M.P.T.
• Mamie Kerr, RDH
• Jamina Kess, LMT
• D'Anna Marie Kester, MSW
• Alexis Key, RBT
• Sadaf Khan, RN
• Mansi Khichi, PA-C
• Sunny Singh Khichi, M.D.
• Anum Khurshid
• Kevin Khuu, RBT

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.