Individual provider Active NPI

Mohammad Rizwan, DC

  • Chiropractor
  • Stafford, VA
National Provider Identifier
1457820136
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557525 Issued in VA
Practice address
95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Phone
(703) 523-9565
NPI assigned
Nov 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557525 VA Primary

Addresses

Primary practice location

95 Dunn Dr Ste 123
Stafford, VA 22556-1503

Mailing address

13317 Jarist CT
Clifton, VA 20124-0976
Phone (703) 507-2537

Other practice location 1

3970 Walnut St
Fairfax, VA 22030-4726
Phone (703) 352-4357

Other identifiers 1

IdentifierTypeStateIssuer
-Other-

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609000898 VA Practitioner - Chiropractic 3971023334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557525VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Mar 6, 2025 Accepting new patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Mar 6, 2025 Accepting new patients

Locations

16830 Dumfries Rd
Ste 140
Dumfries, VA 22025
Phone (703) 523-1750

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

95 Dunn Dr
Ste 123
Stafford, VA 22556
Phone (540) 659-2111

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

Organizations & group practices 2

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": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1457820136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 JARIST CT",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240976",
            "telephone_number": "703-507-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DUNN DR STE 123",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561503",
            "telephone_number": "703-523-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220304726",
            "country_code": "US",
            "telephone_number": "703-352-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZWAN",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "-",
            "identifier": "-",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.