Virginia Sports and Spine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557077 Issued in VA

Legal business name

VIRGINIA SPORTS AND SPINE

Practice address

10387 Main St
LL2
Fairfax, VA 22030-2453

Phone

(571) 344-3744

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farid Mohammadi, D.C.NPI 1205270014

Title

Owner

Phone

(571) 344-3744

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farid M Mohammadi, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1205270014
  NPD (past) Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1841683174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10387 MAIN ST",
            "address_2": "LL2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302453",
            "telephone_number": "571-344-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10387 MAIN ST",
            "address_2": "LL2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302453",
            "telephone_number": "571-344-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SPORTS AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-344-3744",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Nephrology Group, LLP
• Virginia Pediatric Group
• Virginia Pediatric Group, LTD
• Virginia Psychological Solutions PLLC
• Virginia Senior Care LLC
• Virginia Sports Chiropractic of Fairfax, PC
• Virginia Sports Medicine Doctors
• Virginia Surgery Associates, P.C.
• Virginia University of Integrative Medicine
• Virginia University of Oriental Medicine

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.