Individual provider Active NPI

Seyed Reza Eftekhar Hosseini, D.C.

  • Chiropractor
  • Beltsville, MD
National Provider Identifier
1295140838
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557178 Issued in VA
Practice address
4810 Manheim Ave
Beltsville, MD 20705-1821
Phone
(703) 678-9726
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557178 VA Primary

Addresses

Primary practice location

4810 Manheim Ave
Beltsville, MD 20705-1821

Mailing address

7011 Calamo St
Suite 208
Springfield, VA 22150-3500
Phone (703) 678-9726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557178VAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1295140838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 CALAMO ST",
            "address_2": "SUITE 208",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503500",
            "telephone_number": "703-678-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 MANHEIM AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051821",
            "telephone_number": "703-678-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHAR HOSSEINI",
        "first_name": "SEYED REZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.