Individual provider Active NPI

Tannaz Farnoudi, DC

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1447748306
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557488 Issued in VA
Practice address
13300 Franklin Farm Rd Ste B
Herndon, VA 20171-4096
Phone
(703) 787-7463
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 0104557488 VA Primary

Addresses

Primary practice location

13300 Franklin Farm Rd Ste B
Herndon, VA 20171-4096

Mailing address

13300 Franklin Farm Rd
Ste B
Herndon, VA 20171-4096
Phone (703) 787-7463

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
0104557488VAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1447748306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 FRANKLIN FARM RD",
            "address_2": "STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714096",
            "telephone_number": "703-787-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 FRANKLIN FARM RD STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714096",
            "telephone_number": "703-787-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNOUDI",
        "first_name": "TANNAZ",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.