Individual provider Active NPI

Maziar A Nejad, D.C.

  • Chiropractor
  • Vermilion, OH
National Provider Identifier
1114035185
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3032 Issued in OH
Practice address
4365 Liberty Ave
Vermilion, OH 44089-2133
Phone
(440) 967-4226
Fax
(440) 967-0296
NPI assigned
Aug 29, 2006
Last updated
Aug 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3032 OH Primary

Addresses

Primary practice location

4365 Liberty Ave
Vermilion, OH 44089-2133

Mailing address

336 Cornwall Rd
Rocky River, OH 44116-1629
Phone (440) 221-6344

Other identifiers 1

IdentifierTypeStateIssuer
2459236MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000970 OH Practitioner - Chiropractic 7517855463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Solution Center of Vermilion, IncGroup PAC ID 5395895650, 3 clinicians

Practice addresses (Care Compare)

4733 Liberty Ave
Vermilion, OH 44089-3206
Phone (440) 967-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3032OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solution Center of Vermilion, Inc Chiropractor CurrentSince May 1, 2009 Accepting new patients
Health Solution Centers of Lorain Inc. Chiropractor CurrentSince Feb 13, 2012 Accepting new patients
Health Solution Centers of Sandusky Inc Chiropractor CurrentSince Oct 1, 2009 Accepting new patients

Locations

1980 Cooper Foster Park Rd W
Ste A
Lorain, OH 44053
Phone (440) 282-7246

1112 E Perkins Ave
Sandusky, OH 44870
Phone (419) 626-1112

4365 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-4226

4733 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-4226

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1114035185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CORNWALL RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161629",
            "telephone_number": "440-221-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892133",
            "telephone_number": "440-967-4226",
            "fax_number": "440-967-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAD",
        "first_name": "MAZIAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2459236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.