Active NPI
Syra Desirae Saboori, DC
- Chiropractor
- Austin, TX
National Provider Identifier
1124705264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15643
- Practice address
- 5555 N Lamar Blvd Ste H131
Austin, TX 78751-1096 - Phone
- (512) 910-8388
- NPI assigned
- Jun 30, 2023
- 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 | 15643 | TX | Primary |
Addresses
Primary practice location
5555 N Lamar Blvd Ste H131
Austin, TX 78751-1096
Mailing address
1500 E Riverside Dr Apt 534
Austin, TX 78741-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617001095 | TX | Practitioner - Chiropractic | 6800307893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1124705264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E RIVERSIDE DR APT 534",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787411171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD STE H131",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511096",
"telephone_number": "512-910-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOORI",
"first_name": "SYRA",
"middle_name": "DESIRAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.