Individual provider Active NPI

Ashraf A Soomar-Kheraj, D.C.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1093903007
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10490 Issued in TX
Practice address
4300 N Josey LN Ste 104
Carrollton, TX 75010-4578
Phone
(972) 317-0680
Fax
(972) 317-0690
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 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 10490 TX Primary

Addresses

Primary practice location

4300 N Josey LN Ste 104
Carrollton, TX 75010-4578

Mailing address

4300 N Josey LN Ste 104
Carrollton, TX 75010-4578
Phone (972) 317-0680

Other identifiers 3

IdentifierTypeStateIssuer
1093903007OtherTXINDIVIDUAL NPI
1528215563OtherTXNPPES
1528215563OtherTXGROUP NPI (RENDERING)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000366 TX Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8123195286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4300 N Josey LN
Suite 104
Carrollton, TX 75010-4578
Phone (972) 317-0680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10490TXMDMental Health Counselor

Organizations & group practices 1

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1093903007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N JOSEY LN STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104578",
            "telephone_number": "972-317-0680",
            "fax_number": "972-317-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N JOSEY LN STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104578",
            "telephone_number": "972-317-0680",
            "fax_number": "972-317-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOMAR-KHERAJ",
        "first_name": "ASHRAF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093903007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1528215563",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI (RENDERING)",
            "identifier": "1528215563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.