Organization Active NPI

Bahar Nehawandian Chiropractic Corp.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1578065231
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24532 Issued in CA
Legal business name
BAHAR NEHAWANDIAN CHIROPRACTIC CORP.
Practice address
3151 Olin Ave # 100
San Jose, CA 95117-1635
Phone
(408) 261-2222
Fax
(408) 261-0310
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Dr. Bahar Nehawandian, DCNPI 1124148713
Title
Owner
Phone
(408) 261-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24532 CA Primary

Addresses

Primary practice location

3151 Olin Ave # 100
San Jose, CA 95117-1635

Mailing address

3151 Olin Ave # 100
San Jose, CA 95117-1635
Phone (408) 261-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180416001464 CA Part B Supplier - Clinic/Group Practice 6507129095 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

3151 Olin Ave
#100
San Jose, CA 95117
Phone (408) 261-0722

3151 Olin Ave
Ste 100
San Jose, CA 95117
Phone (408) 261-2222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1578065231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 OLIN AVE # 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171635",
            "telephone_number": "408-261-2222",
            "fax_number": "408-261-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 OLIN AVE # 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171635",
            "telephone_number": "408-261-2222",
            "fax_number": "408-261-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHAR NEHAWANDIAN CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "NEHAWANDIAN",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-261-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.