Active NPI
Fatemeh Vida Meymand, DC
- Chiropractor
- Richardson, TX
National Provider Identifier
1487973277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9629
- Practice address
- 905 Custer Rd
Richardson, TX 75080-5141 - Phone
- (972) 644-5555
- NPI assigned
- May 19, 2010
- Sex
- Female
- 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 | 9629 | TX | Primary |
Addresses
Primary practice location
905 Custer Rd
Richardson, TX 75080-5141
Mailing address
905 Custer Rd
Richardson, TX 75080-5141
Phone (972) 644-5555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9629 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1487973277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 CUSTER RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805141",
"telephone_number": "972-644-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 CUSTER RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805141",
"telephone_number": "972-644-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYMAND",
"first_name": "FATEMEH",
"middle_name": "VIDA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.