Individual provider Active NPI

Faranak Taheri, D.C

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1396010005
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556954 Issued in VA
Practice address
8206 Leesburg Pike
Ste 201
Vienna, VA 22182-2614
Phone
(703) 663-8808
Fax
(703) 663-8953
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556954 VA Primary

Addresses

Primary practice location

8206 Leesburg Pike
Ste 201
Vienna, VA 22182-2614

Mailing address

4290 Birney LN
Fairfax, VA 22033-4333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404000438 DC Practitioner - Chiropractic 0244593242 Practice locations: Vienna, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8206 Leesburg Pike
Suite 201
Vienna, VA 22182-2614
Phone (703) 663-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556954VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiropractic Doctor Chiropractor CurrentSince Jan 1, 2014 Accepting new patients

Locations

8133 Leesburg Pike
Ste 100
Vienna, VA 22182
Phone (631) 796-2630

8206 Leesburg Pike
Ste 201
Vienna, VA 22182
Phone (703) 448-8010

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1396010005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BIRNEY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "STE 201",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-663-8808",
            "fax_number": "703-663-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "FARANAK",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.