M.M.K.E LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

M.M.K.E LLC

Doing business as

Blue Zone Advanced Chiropractic

Practice address

30340 FM 2978 Rd Ste 600
The Woodlands, TX 77354-6152

Phone

(832) 335-9990

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mariam Mahmoud Mobarak, DCNPI 1518722628

Title

Owner/Chiropractor

Phone

(832) 335-9990

Specialties & licenses 1

Addresses

Other names 1

• Blue Zone Advanced Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariam Mahmoud Mobarak, DC

  • Chiropractor
  • Houston, TX
  • NPI 1518722628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1306662135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 ROSEMARY SAGE DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544150",
            "telephone_number": "832-335-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30340 FM 2978 RD STE 600",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773546152",
            "telephone_number": "832-335-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.M.K.E LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MOBARAK",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "832-335-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Zone Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.