Individual provider Active NPI

Shahin Sadeghi Alavijeh, DC

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1427405026
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557316 Issued in VA
Practice address
2300 N Pershing Dr Ste 204
Arlington, VA 22201-1428
Phone
(703) 525-5800
Fax
(703) 525-5802
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557316 VA Primary

Addresses

Primary practice location

2300 N Pershing Dr Ste 204
Arlington, VA 22201-1428

Mailing address

2300 N Pershing Dr Ste 204
Arlington, VA 22201-1428
Phone (703) 525-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200401000406 DC Practitioner - Chiropractic 2860821568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 26, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 26, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1880 Howard Ave
Ste 202
Vienna, VA 22182
Phone (202) 880-5007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shahin.sadeghi.alavijeh.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1427405026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR STE 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "703-525-5800",
            "fax_number": "703-525-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR STE 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "703-525-5800",
            "fax_number": "703-525-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI ALAVIJEH",
        "first_name": "SHAHIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.