North Dallas Advanced Diagnostic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

07107 Issued in TX

Legal business name

NORTH DALLAS ADVANCED DIAGNOSTIC PA

Practice address

1705 Ohio Dr
Suite 200 a
Plano, TX 75093-5255

Phone

(866) 620-5987

Fax

(866) 818-2129

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reza Assadollahi, D.C.

Title

Owner

Phone

(866) 620-5987

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1013017987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703324",
            "telephone_number": "580-276-3320",
            "fax_number": "580-276-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 OHIO DR",
            "address_2": "SUITE 200 A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935255",
            "telephone_number": "866-620-5987",
            "fax_number": "866-818-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS ADVANCED DIAGNOSTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "ASSADOLLAHI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-620-5987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "07107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "07107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.