Optimum Chiropractic and Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556086 Issued in VA

Legal business name

OPTIMUM CHIROPRACTIC AND HEALTH CENTER, LLC

Practice address

7700 Little River Tpke
Suite 102
Annandale, VA 22003-2406

Phone

(703) 658-0967

Fax

(703) 658-0969

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reza Nikpour, D.C.

Title

Doctor/Owner

Phone

(703) 658-0967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1164606992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE",
            "address_2": "SUITE 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-0967",
            "fax_number": "703-658-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE",
            "address_2": "SUITE 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-0967",
            "fax_number": "703-658-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC AND HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "NIKPOUR",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "703-658-0967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.