Active NPI
Fattollah Nejat-Bakhsh, DC
- Chiropractor
- San Antonio, TX
National Provider Identifier
1477645364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9120
- Practice address
- 603 Isom Rd
Ste # 103
San Antonio, TX 78216-4455 - Phone
- (210) 340-0333
- Fax
- (210) 340-0955
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 9120 | TX | Primary |
Addresses
Primary practice location
603 Isom Rd
Ste # 103
San Antonio, TX 78216-4455
Mailing address
603 Isom Rd
Ste # 103
San Antonio, TX 78216-4455
Phone (210) 340-0333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7067472 | Other | AETNA | |
| 4370625 | Other | TX | CIGNA |
| 656439 | Other | TX | ACN |
| 606413 | Other | BCBS | |
| 155508801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
603 Isom Rd
Suite 103
San Antonio, TX 78216-4454
Phone (210) 340-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakhsh Chiropractic Clinic Inc. | Chiropractor | Current | Accepting new patients |
Locations
603 Isom Rd
Ste 103
San Antonio, TX 78216
Phone (210) 340-0333
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.
-
- Chiropractor
- San Antonio, TX
- NPI 1275757908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1477645364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 ISOM RD",
"address_2": "STE # 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164455",
"telephone_number": "210-340-0333",
"fax_number": "210-340-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 ISOM RD",
"address_2": "STE # 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164455",
"telephone_number": "210-340-0333",
"fax_number": "210-340-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEJAT-BAKHSH",
"first_name": "FATTOLLAH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7067472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4370625",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "656439",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "606413",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155508801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.