Organization Active NPI

Reza Chiropractic and MDT, P.C.

  • Multi-Specialty Clinic/Center
  • Bozeman, MT
National Provider Identifier
1386304137
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REZA CHIROPRACTIC AND MDT, P.C.
Practice address
85 Mill Town Loop Unit E
Bozeman, MT 59718-5139
Phone
(406) 920-1807
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Dr. Reza Ghassemi, DC
Title
Owner
Phone
(406) 920-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

85 Mill Town Loop Unit E
Bozeman, MT 59718-5139

Mailing address

85 Mill Town Loop Unit E
Bozeman, MT 59718-5139
Phone (406) 920-1807

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reza@rezachiro.com Direct

National Provider Directory

National Provider Directory

Locations

85 Mill Town Loop
Unit E
Bozeman, MT 59718
Phone (406) 920-1807

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1386304137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MILL TOWN LOOP UNIT E",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185139",
            "telephone_number": "406-920-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MILL TOWN LOOP UNIT E",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185139",
            "telephone_number": "406-920-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA CHIROPRACTIC AND MDT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "GHASSEMI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-920-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reza@rezachiro.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web address",
            "address_1": "85 Mill Town Loop Unit E",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597185139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.