Active NPI
Shahrfar Kasrai Ilami, D.C.
- Chiropractor
- Richardson, TX
National Provider Identifier
1336362789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8139
- Practice address
- 107 S McKinney St
Richardson, TX 75081-3338 - Phone
- (972) 234-4646
- NPI assigned
- Apr 11, 2007
- Last updated
- Apr 20, 2009
- 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 | 8139 | TX | Primary |
Addresses
Primary practice location
107 S McKinney St
Richardson, TX 75081-3338
Mailing address
107 S McKinney St
Richardson, TX 75081-3338
Phone (972) 234-4646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8139 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1336362789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S MCKINNEY ST",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813338",
"telephone_number": "972-234-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S MCKINNEY ST",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813338",
"telephone_number": "972-234-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILAMI",
"first_name": "SHAHRFAR",
"middle_name": "KASRAI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
- Id Clinic Consultants PLLC
- Thresiamma Idichandy, NURSE PRACTITIONER
- Jazzlyn Ifeji
- Ike Ginis (Pheliyk Medical Supply)
- Mobolaji Adenike Ikujenyo
- Imadulation International, LP
- Image Restoration P a (Mounir Mekhail, MD PA)
- Imedicine and Primary Care Associates PLLC
- Indecon, Inc.
- Independent Care Agency (FirstLight Home Care North Dallas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.