Active NPI
Azadeh Khoubiyari
- Chiropractor
- Columbia, SC
National Provider Identifier
1912420902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3823
- Practice address
- 224 Oneil CT Ste 21
Columbia, SC 29223-7649 - Phone
- (803) 888-4034
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3823 | SC | Primary |
Addresses
Primary practice location
224 Oneil CT Ste 21
Columbia, SC 29223-7649
Mailing address
6601 Lancer Drive
Charlotte, NC 28226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3823 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1912420902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 LANCER DRIVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 ONEIL CT STE 21",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237649",
"telephone_number": "803-888-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOUBIYARI",
"first_name": "AZADEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.