Individual provider Active NPI

Bahareh Borhani, D.C.

  • Chiropractor
  • Fort Washington, MD
National Provider Identifier
1609972694
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02058 Issued in MD
Practice address
10903 Indian Head Highway
#506
Fort Washington, MD 20744-5143
Phone
(301) 292-7500
Fax
(301) 203-1511
NPI assigned
Sep 16, 2006
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S02058 MD Primary

Addresses

Primary practice location

10903 Indian Head Highway
#506
Fort Washington, MD 20744-5143

Mailing address

10903 Indian Head Hwy
#506
Fort Washington, MD 20744-4000
Phone (301) 292-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000404 DC Practitioner - Chiropractic 1456458652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10903 Indian Head Hwy
Suite 506
Fort Washington, MD 20744-4012
Phone (301) 292-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02058MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Washington Chiropractic Center Chiropractor CurrentSince Mar 6, 2003 Accepting new patients
Washington Spine and Injury Center P C Chiropractor Past Accepting new patients

Locations

10903 Indian Head Hwy
Ste 506
Ft Washington, MD 20744
Phone (301) 292-7500

11394 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1609972694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "#506",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444000",
            "telephone_number": "301-292-7500",
            "fax_number": "301-203-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HIGHWAY",
            "address_2": "#506",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445143",
            "telephone_number": "301-292-7500",
            "fax_number": "301-203-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORHANI",
        "first_name": "BAHAREH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.