Individual provider Active NPI

Saeideh Parham, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1083790646
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007724 Issued in GA
Practice address
4063 Cloister Dr
Marietta, GA 30062-8005
Phone
(678) 887-4207
Fax
(678) 205-5132
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007724 GA Primary

Addresses

Primary practice location

4063 Cloister Dr
Marietta, GA 30062-8005

Mailing address

770 Old Roswell PL
Unit H-400
Roswell, GA 30076-1670
Phone (678) 887-4207

Other identifiers 1

IdentifierTypeStateIssuer
007724OtherGACHIROPRACTIC LISC #

Other names 1

  • Mrs. Saeideh Mortazavi Zanjani Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007724GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Fit Wellness Center LLC Past Accepting new patients
Stayfit Wellness Center LLC Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1083790646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 OLD ROSWELL PL",
            "address_2": "UNIT H-400",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761670",
            "telephone_number": "678-887-4207",
            "fax_number": "678-205-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 CLOISTER DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628005",
            "telephone_number": "678-887-4207",
            "fax_number": "678-205-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "SAEIDEH",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LISC #",
            "identifier": "007724",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAEIDEH",
            "last_name": "ZANJANI",
            "middle_name": "MORTAZAVI",
            "prefix": "MRS.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.