Mehrdad M Moghaddam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3851 Issued in SC

Practice address

439 W Abington Way
Spartanburg, SC 29301-4221

Phone

(864) 415-9232

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fromer Chiropractic, Inc.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1336664333
  NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1093122020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W ABINGTON WAY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293014221",
            "telephone_number": "864-415-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W ABINGTON WAY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293014221",
            "telephone_number": "864-415-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADDAM",
        "first_name": "MEHRDAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starrcree Mixon, MSW
• Shooka Moallemi, PA-C
• Mobile MD LLC
• Joseph E Mobley, M.D.
• Modern Wellness Family Counseling, LLC
• Amirah Kate Moize, MOT
• Sherif M Mokhtar
• Kasey Momier
• Momscare
• Suzanne B. Monaghan, MD

• Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.