Active NPI
Shahram Jamalabadi, DC
- Chiropractor
- Greenville, TX
National Provider Identifier
1477645778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10270
- Practice address
- 2911 Terrell Rd
Suite B
Greenville, TX 75402-5567 - Phone
- (903) 455-6600
- Fax
- (903) 455-4456
- NPI assigned
- Sep 28, 2006
- Last updated
- Dec 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 10270 | TX | Primary |
Addresses
Primary practice location
2911 Terrell Rd
Suite B
Greenville, TX 75402-5567
Mailing address
2911 Terrell Rd
Suite B
Greenville, TX 75402
Phone (903) 455-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608282 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1477645778 | Other | TX | BLUECROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Global Enterprises, Inc | Chiropractor | Past | Accepting new patients |
| Shahram Jamalabadi | Chiropractor | Past | Accepting new patients |
| Shahram Jamalabadi | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
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- Chiropractor
- Greenville, TX
- NPI 1376748350
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dba Chiropractic Doctors Clinic
- Chiropractor
- Dallas, TX
- NPI 1104024074
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": "1197417600000",
"number": "1477645778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 TERRELL RD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75402",
"telephone_number": "903-455-6600",
"fax_number": "903-455-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 TERRELL RD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754025567",
"telephone_number": "903-455-6600",
"fax_number": "903-455-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMALABADI",
"first_name": "SHAHRAM",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "608282",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUE SHIELD",
"identifier": "1477645778",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.