Individual provider Active NPI

Yasaman Vafai, DC

  • Chiropractor
  • Belmont, MA
National Provider Identifier
1346354610
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2678 Issued in MA
Practice address
66 Leonard St
Suite 3
Belmont, MA 02478-2512
Phone
(617) 855-5161
Fax
(617) 484-8551
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2678 MA Primary

Addresses

Primary practice location

66 Leonard St
Suite 3
Belmont, MA 02478-2512

Mailing address

66 Leonard St
Suite 3
Belmont, MA 02478-2512
Phone (617) 855-5161

Other identifiers 1

IdentifierTypeStateIssuer
Y36859OtherMABLUE CROSS/ BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000037 MA Practitioner - Chiropractic 1153219456 Practice locations: Belmont, MA

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)

66 Leonard St
Suite 3
Belmont, MA 02478-2512
Phone (617) 855-5161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Physical Therapy, LLC PastSince Sep 3, 2012 Accepting new patients

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1346354610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEONARD ST",
            "address_2": "SUITE 3",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782512",
            "telephone_number": "617-855-5161",
            "fax_number": "617-484-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEONARD ST",
            "address_2": "SUITE 3",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782512",
            "telephone_number": "617-855-5161",
            "fax_number": "617-484-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFAI",
        "first_name": "YASAMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "Y36859",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.