Organization Active NPI

Mobile Maz, Inc.

  • Chiropractor
  • Indian Trail, NC
National Provider Identifier
1508193129
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2976 Issued in NC
Legal business name
MOBILE MAZ, INC.
Practice address
1001 Van Buren Ave
Suite F
Indian Trail, NC 28079-5583
Phone
(704) 806-4045
Fax
(704) 882-2252
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Mazyar Michael Neshat, D.C.
Title
President
Phone
(704) 806-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2976 NC Primary

Addresses

Primary practice location

1001 Van Buren Ave
Suite F
Indian Trail, NC 28079-5583

Mailing address

1001 Van Buren Ave
Suite F
Indian Trail, NC 28079-5583
Phone (704) 806-4045

Other names 1

  • Mobile Maz Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Van Buren Ave
Ste F
Indian Trail, NC 28079
Phone (704) 806-4045

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1508193129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE",
            "address_2": "SUITE F",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795583",
            "telephone_number": "704-806-4045",
            "fax_number": "704-882-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE",
            "address_2": "SUITE F",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795583",
            "telephone_number": "704-806-4045",
            "fax_number": "704-882-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MAZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "NESHAT",
        "authorized_official_first_name": "MAZYAR",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-806-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Maz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.