NPIMap

Organization Active NPI

Forest Injury and Rehab Center, Inc.

Doing business as DFW Injury Clinic

  • Rehabilitation Chiropractor
  • Dallas, TX
National Provider Identifier
1417074782
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8940 Issued in TX
Legal business name
FOREST INJURY AND REHAB CENTER, INC.
Doing business as
DFW Injury Clinic
Practice address
3420 W Illinois Ave Ste 100
Dallas, TX 75211-8798
Phone
(214) 339-9111
Fax
(214) 339-9118
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. Neda Bahadori, DCNPI 1669417804
Title
Owner Medical Director
Phone
(817) 834-7422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 8940 TX Primary

Addresses

Primary practice location

3420 W Illinois Ave Ste 100
Dallas, TX 75211-8798

Mailing address

707 N Riverside Dr
Fort Worth, TX 76111-4247
Phone (214) 339-9111

Other names 1

  • DFW Injury Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3420 W Illinois Ave
Ste 100
Dallas, TX 75211
Phone (214) 339-9111

3068 Forest Ln
Ste 105
Dallas, TX 75234
Phone (972) 406-8470

707 N Riverside Dr
Fort Worth, TX 76111
Phone (817) 834-7422

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1417074782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114247",
            "telephone_number": "214-339-9111",
            "fax_number": "214-339-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W ILLINOIS AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118798",
            "telephone_number": "214-339-9111",
            "fax_number": "214-339-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST INJURY AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "BAHADORI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER  MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-834-7422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.