Active NPI
Arezu Kheyrani, DC
- Chiropractor
- Alexandria, VA
National Provider Identifier
1689397408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557822
- Practice address
- 4660 Kenmore Ave Ste 400
Alexandria, VA 22304-1306 - Phone
- (703) 751-1008
- NPI assigned
- Sep 26, 2022
- 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 | 0104557822 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave Ste 400
Alexandria, VA 22304-1306
Mailing address
1531 Boyd Pointe Way
Apt 2907
Tysons, VA 22182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557822 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1689397408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 BOYD POINTE WAY",
"address_2": "APT 2907",
"city": "TYSONS",
"state": "VA",
"postal_code": "22182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 400",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-751-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHEYRANI",
"first_name": "AREZU",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.