Individual provider Active NPI

Mahdi Khanbabazadeh, DC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1780264630
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6145 Issued in OR
Practice address
20001 SW Tualatin Valley Hwy Ste 102
Beaverton, OR 97003-2300
Phone
(971) 570-7860
Fax
(833) 222-8117
NPI assigned
Apr 13, 2021
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 6145 OR Primary

Addresses

Primary practice location

20001 SW Tualatin Valley Hwy Ste 102
Beaverton, OR 97003-2300

Mailing address

20001 SW Tualatin Valley Hwy Ste 102
Beaverton, OR 97003-2300
Phone (971) 570-7860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204004369 OR Practitioner - Chiropractic 6901385483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro Care LLCGroup PAC ID 5092294579, 3 clinicians

Practice addresses (Care Compare)

20001 SW Tualatin Valley Hwy
Beaverton, OR 97003-2300
Phone (971) 570-7860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6145ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Care LLC Chiropractor CurrentSince Nov 1, 2025 Accepting new patients
Oregon Medical Equipment LLC Current Accepting new patients
Duncan Health Centers LLC Chiropractor PastSince Apr 1, 2021 Accepting new patients

Locations

20001 SW Tualatin Valley Hwy
#H
Beaverton, OR 97003
Phone (971) 570-7860

20001 SW Tualatin Valley Hwy
Ste 102
Beaverton, OR 97003
Phone (971) 570-7860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1780264630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 SW TUALATIN VALLEY HWY STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032300",
            "telephone_number": "971-570-7860",
            "fax_number": "833-222-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 SW TUALATIN VALLEY HWY STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032300",
            "telephone_number": "971-570-7860",
            "fax_number": "833-222-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANBABAZADEH",
        "first_name": "MAHDI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.