NPIMap

Organization Active NPI

United Chiropractic Center

  • Sports Physician Chiropractor
  • Herndon, VA
National Provider Identifier
1164575056
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001895 Issued in VA
Legal business name
UNITED CHIROPRACTIC CENTER
Practice address
905 Herndon Pkwy
Suite B
Herndon, VA 20170-5536
Phone
(703) 437-8195
Fax
(703) 437-2404
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Hirad Najafbagy, D.C.NPI 1285787150
Title
President
Phone
(703) 437-8195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 0104001895 VA Primary

Addresses

Primary practice location

905 Herndon Pkwy
Suite B
Herndon, VA 20170-5536

Mailing address

905 Herndon Pkwy
Suite B
Herndon, VA 20170-5536
Phone (703) 437-8195

Other names 1

  • United Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091221000132 DC Part B Supplier - Clinic/Group Practice 4486794609 Receives reassigned benefits from 7 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

510 W Annandale Rd
Ste 300
Falls Church, VA 22046
Phone (703) 600-8208

905 Herndon Pkwy
Ste B
Herndon, VA 20170
Phone (703) 437-8195

1886 Metro Center Dr
Ste 100
Reston, VA 20190
Phone (703) 437-8195

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1164575056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HERNDON PKWY",
            "address_2": "SUITE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705536",
            "telephone_number": "703-437-8195",
            "fax_number": "703-437-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HERNDON PKWY",
            "address_2": "SUITE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705536",
            "telephone_number": "703-437-8195",
            "fax_number": "703-437-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "NAJAFBAGY",
        "authorized_official_first_name": "HIRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-8195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.