Organization Active NPI

Bakhsh Chiropractic Clinic Inc.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1275757908
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9120 Issued in TX
Legal business name
BAKHSH CHIROPRACTIC CLINIC INC.
Practice address
603 Isom Rd
Ste #103
San Antonio, TX 78216-4455
Phone
(210) 340-0333
Fax
(210) 340-0955
NPI assigned
Apr 12, 2007
Last updated
Aug 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Fattollah Nejat-Bakhsh, D.C.NPI 1477645364
Title
President
Phone
(210) 340-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9120 TX Primary

Addresses

Primary practice location

603 Isom Rd
Ste #103
San Antonio, TX 78216-4455

Mailing address

603 Isom Rd
Ste #103
San Antonio, TX 78216-4455
Phone (210) 340-0333

Other identifiers 3

IdentifierTypeStateIssuer
00Y229OtherMEDICARE GROUP NUMBER
1555088MedicaidTX
8X1960OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000238 TX Part B Supplier - Clinic/Group Practice 3870681950 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

603 Isom Rd
Ste 103
San Antonio, TX 78216
Phone (210) 340-0333

8026 Vantage Dr
#125B
San Antonio, TX 78230
Phone (210) 340-0333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1275757908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ISOM RD",
            "address_2": "STE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164455",
            "telephone_number": "210-340-0333",
            "fax_number": "210-340-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 ISOM RD",
            "address_2": "STE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164455",
            "telephone_number": "210-340-0333",
            "fax_number": "210-340-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKHSH CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "NEJAT-BAKHSH",
        "authorized_official_first_name": "FATTOLLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-340-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00Y229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555088",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X1960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.

Verify at the official NPI Registry.