Esmaeel Samaliazad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8642 Issued in FL

Practice address

1953 Colonial Blvd
Fort Myers, FL 33907-1302

Phone

(239) 277-9552

Fax

(239) 277-7366

NPI assigned

May 23, 2008

Last updated

Mar 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/504966/r4

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.

• Sunshine State Medical

  • Chiropractor
  • Orlando, FL
  • NPI 1275502098
  NPD (past)
• Sunshine State Medical Inc

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1598063935

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1396903605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071302",
            "telephone_number": "239-277-9552",
            "fax_number": "239-277-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071302",
            "telephone_number": "239-277-9552",
            "fax_number": "239-277-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALIAZAD",
        "first_name": "ESMAEEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381698200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tami Salvaggio, L.M.T.
• Martina Salvatierra
• Yanet Leonor Sam Soler
• Sam Therapy Services Corp
• Sam's Club Optical (Sam's Club Optical 30-8130)
• Jacob Arthur Sambursky, MD
• Crystal Marie Sammarco
• Cristin Sampson, MD
• Sams East Inc (Sams Pharmacy 10-8130)
• Billy D Sams II, D.D.S.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.