Individual provider Active NPI

Amir H Ahmadiyar, D.C.

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1912918681
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001051 Issued in VA
Practice address
3301 Woodburn Rd # 206
Annandale, VA 22003-1229
Phone
(703) 538-5455
Fax
(703) 538-6675
NPI assigned
Aug 10, 2006
Last updated
Dec 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001051 VA Primary

Addresses

Primary practice location

3301 Woodburn Rd # 206
Annandale, VA 22003-1229

Mailing address

3301 Woodburn Rd # 206
Annandale, VA 22003-1229
Phone (703) 538-5455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090529000257 DC Practitioner - Chiropractic 2062561756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Canadian Memorial Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascent Integrated Medicine IncGroup PAC ID 5890131379, 2 clinicians

Practice addresses (Care Compare)

3301 Woodburn Rd
Suite 206
Annandale, VA 22003-1229
Phone (703) 538-5455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001051VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Ahmadiyar DC PC Chiropractor CurrentSince Nov 1, 1996 Accepting new patients
Ascent Integrated Medicine Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

3301 Woodburn Rd
#206
Annandale, VA 22003
Phone (703) 538-5455

6521 Arlington Blvd
Ste 100
Falls Church, VA 22042
Phone (703) 538-5455

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1912918681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD # 206",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-538-5455",
            "fax_number": "703-538-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD # 206",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-538-5455",
            "fax_number": "703-538-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADIYAR",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.