Organization Active NPI

Dadvand Chiropractic Inc.

  • Preferred Provider Organization
  • Los Angeles, CA
National Provider Identifier
1639507650
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DC28053 Issued in CA
Legal business name
DADVAND CHIROPRACTIC INC.
Practice address
11540 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-7905
Phone
(310) 444-7711
Fax
(310) 914-7633
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Farbod Dadvand, D.C.NPI 1861557282
Title
Chiropractor
Phone
(310) 444-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DC28053 CA Primary

Addresses

Primary practice location

11540 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-7905

Mailing address

11540 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-7905
Phone (310) 444-7711

National Provider Directory

National Provider Directory
Tax ID family
Dadvand Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11540 Santa Monica Blvd
Ste 203
West Los Angeles, CA 90025
Phone (310) 403-2765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1639507650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-444-7711",
            "fax_number": "310-914-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-444-7711",
            "fax_number": "310-914-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADVAND CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "DADVAND",
        "authorized_official_first_name": "FARBOD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "310-444-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC28053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.