Individual provider Active NPI

Natasha Mazaheri, D.C.

  • Chiropractor
  • Ennis, TX
National Provider Identifier
1467626952
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10136 Issued in TX
Practice address
112 S McKinney St
Ennis, TX 75119-4755
Phone
(972) 875-8600
Fax
(972) 875-8481
NPI assigned
Apr 16, 2008
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10136 TX Primary

Addresses

Primary practice location

112 S McKinney St
Ennis, TX 75119-4755

Mailing address

607 Ferris Ave
Waxahachie, TX 75165-3029
Phone (972) 923-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110001157 TX Practitioner - Chiropractic 8527081082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 Ferris Ave
Waxahachie, TX 75165-3029
Phone (972) 923-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marcial & Mazaheri LLC Chiropractor CurrentSince Apr 21, 2011 Accepting new patients
Hometown Chiropractic, PLLC Chiropractor CurrentSince Nov 8, 2010 Accepting new patients
Hometown Physical Medicine, PLLC CurrentSince Jan 27, 2014 Accepting new patients
Angleton Chiropractic & Rehab, PLLC Chiropractor PastSince Oct 28, 2006 Accepting new patients

Locations

112 S McKinney St
Ennis, TX 75119
Phone (972) 875-8600

2200 W Ennis Ave
Ste A
Ennis, TX 75119
Phone (972) 875-8600

607 Ferris Ave
Waxahachie, TX 75165
Phone (972) 923-1003

Organizations & group practices 4

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1467626952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FERRIS AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653029",
            "telephone_number": "972-923-1003",
            "fax_number": "972-923-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MCKINNEY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194755",
            "telephone_number": "972-875-8600",
            "fax_number": "972-875-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAHERI",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.

Verify at the official NPI Registry.