Mostafa Kolahdouzan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557934 Issued in VA

Practice address

8381 Old Courthouse Rd Ste 110
Vienna, VA 22182-3838

Phone

(703) 832-8369

Fax

(571) 354-7877

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Chiropractic Center

  • Sports Physician Chiropractor
  • Herndon, VA
  • NPI 1164575056

  DC

  Medicare reassignment NPD
• True Wellness Center, LLC

  • Sports Physician Chiropractor
  • Vienna, VA
  • NPI 1811852890
  NPD Authorized official
• United Wellness Center and Sports Rehab FC LLC

  • Sports Physician Chiropractor
  • Falls Church, VA
  • NPI 1952768905
  NPD (past)

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1750160917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823838",
            "telephone_number": "301-456-5652",
            "fax_number": "571-354-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823838",
            "telephone_number": "703-832-8369",
            "fax_number": "571-354-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAHDOUZAN",
        "first_name": "MOSTAFA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homer E Knudson, M.D.
• Christopher J Ko, M.D.
• Paige Briann Koenig, ATC
• Elijah Paschall Kohn
• Nandini Koka, MD
• Rashmi Kolichala, BDS, DMD
• Sonya J Komara
• Tiberiu Koos, M.D.
• Rosemarie McCahill Kormanec, AGNPPC-BC
• Michael Kostrov, DMD

• All providers in Vienna, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.