Reza Assadollahi, D.C., N,P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

782677 Issued in TX

Practice address

16135 Preston Rd
Dallas, TX 75248

Phone

(214) 239-6262

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ray Assadollahi Professional name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Associates of Dallas PLLC

  • Clinic/Center
  • Dallas, TX
  • NPI 1336799618
  Medicare reassignment NPD
• Philip J. Morgan, M.D., Apc

  • Interventional Pain Medicine Physician
  • Encino, CA
  • NPI 1932315157
  Medicare reassignment NPD
• Neurotherapy Center of Dallas

  • Specialist
  • Dallas, TX
  • NPI 1083731335
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1356556591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "214-239-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSADOLLAHI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.C., N,P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "782677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "ASSADOLLAHI",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Aspromonte, CRNA
• Asra Kermani MD, PA
• Sumeet Asrani, M.D.
• Shabistan Nausha Asrar, OD
• Mohammed Ashfaq H. Assadi, M.D.
• Joanna Nicole Assadourian
• Frances L Assaf, D.C.
• Manish D Assar, M.D.
• Hamelmal Berhanu Assefa
• Assisted Living at Silver Gardens, LLC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.