Active NPI
Marjaneh Ghassemitari, D.C.
- Chiropractor
- Plano, TX
National Provider Identifier
1386652352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8505
- Practice address
- 2600 K Ave #136
136
Plano, TX 75074-5306 - Phone
- (214) 738-2170
- Fax
- (817) 963-8896
- NPI assigned
- Aug 4, 2006
- 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 | 8505 | TX | Primary |
Addresses
Primary practice location
2600 K Ave #136
136
Plano, TX 75074-5306
Mailing address
P.O. Box 868058
Plano, TX 75086-8058
Phone (214) 738-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H060813101 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060126000565 | TX | Practitioner - Chiropractic | 8123032315 | Practice locations: Plano, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8505 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1386652352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 868058",
"city": "PLANO",
"state": "TX",
"postal_code": "750868058",
"telephone_number": "214-738-2170",
"fax_number": "817-963-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 K AVE #136",
"address_2": "136",
"city": "PLANO",
"state": "TX",
"postal_code": "750745306",
"telephone_number": "214-738-2170",
"fax_number": "817-963-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHASSEMITARI",
"first_name": "MARJANEH",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "H060813101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.