Individual provider Active NPI

Farivash Hamraie, L.AC (ACUPUNCTURIST)

  • Acupuncturist
  • Fort Worth, TX
National Provider Identifier
1356662092
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00879 Issued in TX
Practice address
1550 W Rosedale St Ste 408
Fort Worth, TX 76104-7408
Phone
(817) 338-1919
Fax
(817) 338-1919
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00879 TX Primary

Addresses

Primary practice location

1550 W Rosedale St Ste 408
Fort Worth, TX 76104-7408

Mailing address

1550 W Rosedale St Ste 408
Fort Worth, TX 76104-7408
Phone (817) 338-1919

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

LicenseStateTypeSpecialty
AC00879TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1356662092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W ROSEDALE ST STE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047408",
            "telephone_number": "817-338-1919",
            "fax_number": "817-338-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W ROSEDALE ST STE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047408",
            "telephone_number": "817-338-1919",
            "fax_number": "817-338-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRAIE",
        "first_name": "FARIVASH",
        "name_prefix": "Mrs.",
        "credential": "L.AC (ACUPUNCTURIST)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.