Active NPI
Shayda Mankooei, D.C.
- Chiropractor
- Springfield, VA
National Provider Identifier
1568495661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555961
- Practice address
- 6800 Backlick Rd
Suite 100
Springfield, VA 22150-3070 - Phone
- (703) 644-5900
- Fax
- (703) 644-5902
- NPI assigned
- Jul 9, 2006
- Last updated
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555961 | VA | Primary |
Addresses
Primary practice location
6800 Backlick Rd
Suite 100
Springfield, VA 22150-3070
Mailing address
6800 Backlick Rd
Suite 100
Springfield, VA 22150-3070
Phone (703) 644-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6800 Backlick Rd
Suite 100
Springfield, VA 22150-3069
Phone (703) 644-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Commerce Chiropractic Center
- Chiropractor
- Springfield, VA
- NPI 1164835922
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1568495661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 BACKLICK RD",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503070",
"telephone_number": "703-644-5900",
"fax_number": "703-644-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 BACKLICK RD",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503070",
"telephone_number": "703-644-5900",
"fax_number": "703-644-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKOOEI",
"first_name": "SHAYDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
- Gabriel Maldonado, RBT
- Sina Malekuti, DDS
- Joycelyn Divine Malosa, RBT
- Ashley Maloy
- Mankooei Chiropractic Center, Inc (Commerce Chiropractic Center)
- Michelle Lauren Mannella, BCBA, LBA
- Mark a. Winkler, DDS & Neil H. Charaipotra, DDS, PC (Northern Virginia Dental Associates)
- Mark D. Livaditis, O.D.
- Bruce William Markoff, DDS
- Julie Marks, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.