Active NPI
Sara Moghadam, D.C
- Chiropractor
- Garland, TX
National Provider Identifier
1043524770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11363
- Practice address
- 3307 Belt Line Rd
Garland, TX 75044-6913 - Phone
- (972) 496-2225
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 11363 | TX | Primary |
Addresses
Primary practice location
3307 Belt Line Rd
Garland, TX 75044-6913
Mailing address
8141 Durham Dr
Frisco, TX 75035-7352
Phone (469) 231-6784
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 |
|---|---|---|---|
| 11363 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1043524770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8141 DURHAM DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357352",
"telephone_number": "469-231-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 BELT LINE RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750446913",
"telephone_number": "972-496-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADAM",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.