McLean Chiropractic, Rehab and Massage Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557202 Issued in VA

Legal business name

MCLEAN CHIROPRACTIC, REHAB AND MASSAGE CENTER LLC

Practice address

1340 Old Chain Bridge Rd
300A
MC Lean, VA 22101-3955

Phone

(703) 662-0220

Fax

(571) 814-3268

NPI assigned

Oct 26, 2016

Organization subpart

Yes

Parent organization

MCLEAN CHIROPRACTIC, REHAB AND MASSAGE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Joubin Bakhtar, D.C.NPI 1083096861

Title

Owner

Phone

(703) 662-0220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Part of

McLean Chiropractic Rehab and Massage Center LLC

Locations

Practitioners 1

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

• Joubin Bakhtar, D.C.

  • Chiropractor
  • McLean, VA
  • NPI 1083096861

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1376095372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "300A",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-662-0220",
            "fax_number": "571-814-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "300A",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-662-0220",
            "fax_number": "571-814-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN CHIROPRACTIC, REHAB AND MASSAGE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEAN CHIROPRACTIC, REHAB AND MASSAGE CENTER LLC",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "BAKHTAR",
        "authorized_official_first_name": "JOUBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-662-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brown McGibbons III, DDS
• Holly K McLane, BEHAVIOR TECHNICIAN
• Grace Rebecca McLaurin
• McLean Ambulatory Surgery, LLC
• McLean Behavioral Health
• McLean Dental Loft PLLC
• McLean Dermatology and Skincare Center
• McLean Medical Center and Urgent Care LLC
• McLean Neuropsychiatric Treatment Center LLC
• McLean Optometry, LLC

• Chiropractor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.