Organization Active NPI

Dr. Ashraf a. Soomar-Kheraj, Inc.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1528215563
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10490 Issued in TX
Legal business name
DR. ASHRAF A. SOOMAR-KHERAJ, INC.
Practice address
4300 N Josey LN
Suite 104
Carrollton, TX 75010-4744
Phone
(972) 317-0680
Fax
(972) 317-0690
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Dr. Ashraf Alauddin Soomar-Kheraj, D.C.NPI 1093903007
Title
President
Phone
(972) 317-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10490 TX Primary

Addresses

Primary practice location

4300 N Josey LN
Suite 104
Carrollton, TX 75010-4744

Mailing address

4300 N Josey LN
Suite 104
Carrollton, TX 75010-4744
Phone (972) 317-0680

Other identifiers 1

IdentifierTypeStateIssuer
1093903007OtherTXNPI - TYPE 1

Other names 1

  • Ash Chiropractic and Acupuncture Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000418 TX Part B Supplier - Clinic/Group Practice 3971670043 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

4300 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 317-0680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1528215563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N JOSEY LN",
            "address_2": "SUITE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104744",
            "telephone_number": "972-317-0680",
            "fax_number": "972-317-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N JOSEY LN",
            "address_2": "SUITE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104744",
            "telephone_number": "972-317-0680",
            "fax_number": "972-317-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ASHRAF A. SOOMAR-KHERAJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SOOMAR-KHERAJ",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "ALAUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-317-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 1",
            "identifier": "1093903007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ash Chiropractic and Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.