Individual provider Active NPI

Behzad Azamvaghefi, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1205483864
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14131 Issued in TX
Practice address
3434 W Illinois Ave
Dallas, TX 75211-8709
Phone
(214) 304-2291
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14131 TX Primary

Addresses

Primary practice location

3434 W Illinois Ave
Dallas, TX 75211-8709

Mailing address

6000 Adelaide Ave Apt 7216
North Richland Hills, TX 76180-2028
Phone (469) 569-5238

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14131TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1205483864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ADELAIDE AVE APT 7216",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761802028",
            "telephone_number": "469-569-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118709",
            "telephone_number": "214-304-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAMVAGHEFI",
        "first_name": "BEHZAD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.