Rehman Mirza, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S02057 Issued in MD

Practice address

4710 Auth PL
#575
Suitland, MD 20746-4223

Phone

(301) 899-0380

Fax

(301) 899-0381

NPI assigned

Nov 20, 2006

Last updated

Oct 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Capital Health, LLC

  dba Capital Health Chiropractic

  • Nutrition Chiropractor
  • Suitland, MD
  • NPI 1134363732
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1902970270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 AUTH PL",
            "address_2": "#575",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464223",
            "telephone_number": "301-899-0380",
            "fax_number": "301-899-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 AUTH PL",
            "address_2": "#575",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464223",
            "telephone_number": "301-899-0380",
            "fax_number": "301-899-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "REHMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02057",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adjo Mensanvi
• Mental Clarity LLC
• Alayzha R Merrell
• Juniper Samantha Anne Miller
• Marie A. Minor, PH.D.
• Brooke Mitchell
• Mordecai Andemichael LLC
• Madeleine Nicole Moudjongue
• Michel Thomas Mouga
• Ms-HC, LLC (Camp Springs-MED LLC)

• Chiropractor in Suitland, MD
• Providers in Suitland, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.