Active NPI
Mitra Beiraghdar, DC
- Chiropractor
- Houston, TX
National Provider Identifier
1366012627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14695
- Practice address
- 12188 Gulf Fwy
Houston, TX 77034-4442 - Phone
- (281) 977-8384
- Fax
- (713) 636-2559
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- 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 | 14695 | TX | Primary |
Addresses
Primary practice location
12188 Gulf Fwy
Houston, TX 77034-4442
Mailing address
14770 Memorial Dr Ste 220
Houston, TX 77079-5252
Phone (281) 977-8372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14695 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11263 Triangle LN
Silver Spring, MD 20902-4635
Phone (240) 833-8169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14695 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Relief Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
11263 Triangle Ln
Wheaton, MD 20902
Phone (240) 833-8169
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1366012627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14770 MEMORIAL DR STE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795252",
"telephone_number": "281-977-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12188 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770344442",
"telephone_number": "281-977-8384",
"fax_number": "713-636-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIRAGHDAR",
"first_name": "MITRA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "14695",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.