Individual provider Active NPI

Mohammad Shamsabady, D.C.

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1285703942
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
928 Issued in LA
Practice address
3528 Youree Dr
Shreveport, LA 71105-2120
Phone
(318) 865-4875
Fax
(318) 865-0243
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 928 LA Primary

Addresses

Primary practice location

3528 Youree Dr
Shreveport, LA 71105-2120

Mailing address

3528 Youree Dr
Shreveport, LA 71105-2120
Phone (318) 865-4875

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
928LAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285703942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052120",
            "telephone_number": "318-865-4875",
            "fax_number": "318-865-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052120",
            "telephone_number": "318-865-4875",
            "fax_number": "318-865-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSABADY",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.