Individual provider Active NPI

Soheil Christopher Rahbar, DC

  • Chiropractor
  • Reston, VA
National Provider Identifier
1669934527
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557563 Issued in VA
Practice address
11503 Sunset Hills Rd
Reston, VA 20190-4704
Phone
(703) 723-9355
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557563 VA Primary

Addresses

Primary practice location

11503 Sunset Hills Rd
Reston, VA 20190-4704

Mailing address

11503 Sunset Hills Rd
Reston, VA 20190-4704

Other identifiers 1

IdentifierTypeStateIssuer
0104-557563OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104-557563VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Chiropractic and Wellness LLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Palmercare Chiropractic McLean LLC Chiropractor PastSince Sep 23, 2022 Accepting new patients

Locations

11503 Sunset Hills Rd
Reston, VA 20190
Phone (703) 723-9355

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1669934527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904704",
            "telephone_number": "703-723-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAR",
        "first_name": "SOHEIL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0104-557563",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.