Individual provider Active NPI

Azar Zafarnezhad, MS

  • Occupational Therapist
  • Mesquite, TX
National Provider Identifier
1477637668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103494 Issued in TX
Practice address
2540 N Galloway Ave
Suite 301-a
Mesquite, TX 75150-6306
Phone
(972) 613-3440
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103494 TX Primary

Addresses

Primary practice location

2540 N Galloway Ave
Suite 301-a
Mesquite, TX 75150-6306

Mailing address

PO Box 550372
Dallas, TX 75355-0372
Phone (214) 348-0141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000655 TX Practitioner - Occupational Therapist in Private Practice 1355338401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103494TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Hand Rehabilitation Occupational Therapist CurrentSince Oct 1, 2003 Accepting new patients

Locations

2540 N Galloway Ave
Mesquite, TX 75150
Phone (469) 743-1300

2540 N Galloway Ave
Ste 301A
Mesquite, TX 75150
Phone (972) 613-3440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477637668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550372",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753550372",
            "telephone_number": "214-348-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "SUITE 301-A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-613-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFARNEZHAD",
        "first_name": "AZAR",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.