Individual provider Active NPI

Golzar Nika Ghanbari, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1740864867
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557733 Issued in VA
Practice address
2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614
Phone
(757) 364-0067
Fax
(757) 416-7777
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557733 VA Primary

Addresses

Primary practice location

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614

Mailing address

1340 N Great Neck Rd # 1272-182
Virginia Beach, VA 23454-2268
Phone (757) 364-0067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721001608 VA Practitioner - Chiropractic 0446653935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 Independence Blvd
Suite a
Virginia Beach, VA 23462-2200
Phone (757) 962-6191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557733VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiropractic Associates PC Chiropractor CurrentSince Dec 26, 2023 Accepting new patients

Locations

633 Independence Blvd
Ste A
Virginia Beach, VA 23462
Phone (757) 962-6191

Organizations & group practices 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1740864867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD # 1272-182",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-364-0067",
            "fax_number": "757-416-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527614",
            "telephone_number": "757-364-0067",
            "fax_number": "757-416-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANBARI",
        "first_name": "GOLZAR",
        "middle_name": "NIKA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.