Organization Active NPI

Fort Washington Chiropractic Center

  • Chiropractor
  • Fort Washington, MD
National Provider Identifier
1235230442
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02058 Issued in MD
Legal business name
FORT WASHINGTON CHIROPRACTIC CENTER
Practice address
10903 Indian Head Hwy
Suite 506
Fort Washington, MD 20744-4000
Phone
(301) 292-7500
Fax
(301) 203-1511
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Bahareh Borhani, D.C.NPI 1609972694
Title
Member
Phone
(301) 292-7500

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X S02058 MD Primary

Addresses

Primary practice location

10903 Indian Head Hwy
Suite 506
Fort Washington, MD 20744-4000

Mailing address

10903 Indian Head Hwy
Suite 506
Fort Washington, MD 20744-4000
Phone (301) 292-7500

Other names 1

  • Chiropractic Professional Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000318 DC Part B Supplier - Clinic/Group Practice 0244246072 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Washington, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2199742Fort Washington Chiropractic Center10903 Indian Head Hwy #506, Fort Washington, MD 20744Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

11394 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-7500

10903 Indian Head Hwy
Ste 506
Ft Washington, MD 20744
Phone (301) 292-7500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1235230442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "SUITE 506",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444000",
            "telephone_number": "301-292-7500",
            "fax_number": "301-203-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "SUITE 506",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444000",
            "telephone_number": "301-292-7500",
            "fax_number": "301-203-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WASHINGTON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "BORHANI",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-292-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Professional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.