Individual provider Active NPI

Keyvan Shahverdi, D.C.

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1285968289
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556725 Issued in VA
Practice address
8420 Dorsey Cir Ste 101
Manassas, VA 20110-8300
Phone
(703) 367-7878
Fax
(703) 367-0009
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556725 VA Primary

Addresses

Primary practice location

8420 Dorsey Cir Ste 101
Manassas, VA 20110-8300

Mailing address

344 Maple Ave W # 231
Vienna, VA 22180-5612
Phone (703) 367-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000713 DC Practitioner - Chiropractic 1759555634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10721 Main St
Suite 2500
Fairfax, VA 22030-6907
Phone (703) 657-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Chiropractic & Acupuncture Clinic, LLC Chiropractor CurrentSince Jul 30, 2014 Accepting new patients

Locations

10721 Main St
Ste 2500
Fairfax, VA 22030
Phone (703) 229-4455

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1285968289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MAPLE AVE W # 231",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805612",
            "telephone_number": "703-367-7878",
            "fax_number": "703-367-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 DORSEY CIR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108300",
            "telephone_number": "703-367-7878",
            "fax_number": "703-367-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHVERDI",
        "first_name": "KEYVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.